Individual
DR. LARRY D SHAPIRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
901 E CHAPIN ST, LITCHFIELD, IL 62056-1350
(217) 324-3761
(217) 324-0313
Mailing address
8025 AUSTIN DR, TROY, IL 62294-3612
(618) 667-0453
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
019020998
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
019020998
DENTAL LICENSE NUMBER
IL
05
—
9179256
—
IL
Enumeration date
10/12/2005
Last updated
02/12/2013
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