Provider Demographics
NPI:1710063193
Name:SHAPIRO, VLADIMIR MICHAEL (DDS)
Entity Type:Individual
Prefix:DR
First Name:VLADIMIR
Middle Name:MICHAEL
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 1:6636 EASTLAND RD
Mailing Address - Street 2:
Mailing Address - City:WORTHINGTON
Mailing Address - State:OH
Mailing Address - Zip Code:43085-7205
Mailing Address - Country:US
Mailing Address - Phone:614-404-8026
Mailing Address - Fax:
Practice Address - Street 1:117 LAZELLE RD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43235-8605
Practice Address - Country:US
Practice Address - Phone:614-888-3212
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30022299122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist