Individual
JUDSON DACHER-SHAPIRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
NAVAL HEALTH CLINIC NEW ENGLAND, 43 SMITH ROAD, NEWPORT, RI 02842
(401) 841-1873
Mailing address
NAVAL HEALTH CLINIC NEW ENGLAND, 43 SMITH ROAD, NEWPORT, RI 02842
(401) 841-1873
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
0401417881
VA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DEN03475
RI
Other
Enumeration date
07/16/2014
Last updated
05/09/2022
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