Provider Demographics
NPI:1740895713
Name:JEFFREY SHAPIRO DDS PC
Entity type:Organization
Organization Name:JEFFREY SHAPIRO DDS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:
Authorized Official - Last Name:SHAPIRO
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:732-986-5563
Mailing Address - Street 1:6 HALF ACRE RD
Mailing Address - Street 2:
Mailing Address - City:JAMESBURG
Mailing Address - State:NJ
Mailing Address - Zip Code:08831-1115
Mailing Address - Country:US
Mailing Address - Phone:732-521-4311
Mailing Address - Fax:732-521-3153
Practice Address - Street 1:6 HALF ACRE RD
Practice Address - Street 2:
Practice Address - City:JAMESBURG
Practice Address - State:NJ
Practice Address - Zip Code:08831-1115
Practice Address - Country:US
Practice Address - Phone:732-521-4311
Practice Address - Fax:732-521-3153
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-15
Last Update Date:2020-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental