Individual
JORDAN HARRIS SHAPIRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
17901 NW 5TH ST STE 101, PEMBROKE PINES, FL 33029-2810
(954) 437-2222
(954) 437-2244
Mailing address
17901 NW 5TH ST STE 101, PEMBROKE PINES, FL 33029-2810
(954) 437-2222
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
DL13293
MA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DN26579
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/13/2017
Last updated
05/21/2024
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