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Dr. Jerald Mark Shapiro, D.D.S.

Dentist in Southampton, PA. Individual provider (NPI-1).

NPI number1265764153
StatusActive
Last updated in NPPESFeb 3, 2010

Details

NPI
1265764153
Entity type
Individual (NPI-1)
Name
Dr. Jerald Mark Shapiro
Credential
D.D.S.
Sex
Male
Sole proprietor
Yes
Enumeration date
Feb 3, 2010
Last updated
Feb 3, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
122300000X DentistDS 017457LPAYes

Practice location

105 Lakeside Park Ofc Park
Southampton, PA 18966-4048

Phone 215-357-0110

Mailing address

105 Lakeside Park Ofc Park
Southampton, PA 18966-4048

Phone 215-357-0110

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