Provider Demographics
NPI:1699841460
Name:SHAPIRO, HAL IRA (DDS)
Entity Type:Individual
Prefix:DR
First Name:HAL
Middle Name:IRA
Last Name:SHAPIRO
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 NEW STINE RD
Mailing Address - Street 2:STE 110
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93309-2659
Mailing Address - Country:US
Mailing Address - Phone:661-833-9966
Mailing Address - Fax:661-833-6172
Practice Address - Street 1:201 NEW STINE RD
Practice Address - Street 2:STE 110
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93309-2659
Practice Address - Country:US
Practice Address - Phone:661-833-9966
Practice Address - Fax:661-833-6172
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-25
Last Update Date:2018-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA350261223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice