Individual
DR. JEROLD R. SHAPIRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
11 LENOX AVE, POMPTON LAKES, NJ 07442-1729
(973) 835-2454
(973) 835-6232
Mailing address
43 OXBOW PL, WAYNE, NJ 07470-2625
(973) 956-9474
(973) 389-9474
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
22D100838300
NJ
Other
Enumeration date
11/06/2006
Last updated
07/08/2007
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