Individual
DR. BERNARD DAVID SHAPIRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1307 SILAS DEANE HIGHWAY, WETHERSFIELD, CT 06109
(860) 563-4058
(860) 529-2906
Mailing address
97 EAGLE DRIVE, NEWINGTON, CT 06111
(860) 563-4058
(860) 529-2906
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4232
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
460468966
TAX ID
CT
Enumeration date
05/24/2005
Last updated
01/27/2020
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