Provider Demographics
NPI:1922183789
Name:SCHAPIRO, JORDAN LESLIE (DDS)
Entity Type:Individual
Prefix:
First Name:JORDAN
Middle Name:LESLIE
Last Name:SCHAPIRO
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 1:1000 NW 9TH COURT
Mailing Address - Street 2:104
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33486
Mailing Address - Country:US
Mailing Address - Phone:561-347-0091
Mailing Address - Fax:561-342-0062
Practice Address - Street 1:1000 NW 9TH COURT
Practice Address - Street 2:104
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33486
Practice Address - Country:US
Practice Address - Phone:561-347-0091
Practice Address - Fax:561-342-0062
Is Sole Proprietor?:No
Enumeration Date:2006-10-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN135721223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics