# JERROLD SCHAPIRO DDS PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104370402
- **Authorized official:** DR. JERROLD SCHAPIRO (OWNER)
- **Authorized official phone:** (315) 724-1324

## Contact information

- **Practice address:** 2404 GENESEE ST, UTICA, NY 13502-5813
- **Practice address phone:** (315) 724-1324
- **Mailing address:** 2404 GENESEE ST, UTICA, NY 13502-5813
- **Mailing address phone:** (315) 724-1324

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 037949 | NY | Yes |

## Other

- **Enumeration date:** 08/04/2016
- **Last updated:** 08/04/2016