Provider Demographics
NPI:1265428429
Name:SHAPIRO, LOUIS (DDS)
Entity type:Individual
Prefix:DR
First Name:LOUIS
Middle Name:
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 1:24912 JERICHO TPKE
Mailing Address - Street 2:SUITE 112
Mailing Address - City:FLORAL PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11001-4020
Mailing Address - Country:US
Mailing Address - Phone:516-437-4474
Mailing Address - Fax:516-437-7095
Practice Address - Street 1:24912 JERICHO TPKE
Practice Address - Street 2:SUITE 112
Practice Address - City:FLORAL PARK
Practice Address - State:NY
Practice Address - Zip Code:11001-4020
Practice Address - Country:US
Practice Address - Phone:516-437-4474
Practice Address - Fax:516-437-7095
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-09-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0339041223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice