Provider Demographics
NPI:1154558914
Name:SHAPIRO, LAURA FRANCES (DMD)
Entity type:Individual
Prefix:DR
First Name:LAURA
Middle Name:FRANCES
Last Name:SHAPIRO
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30 BEE ST RM 120
Mailing Address - Street 2:MSC 507
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29425-8910
Mailing Address - Country:US
Mailing Address - Phone:843-792-4461
Mailing Address - Fax:843-792-3917
Practice Address - Street 1:30 BEE ST RM 120
Practice Address - Street 2:MSC 507
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29425-8910
Practice Address - Country:US
Practice Address - Phone:843-792-4461
Practice Address - Fax:843-792-3917
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-18
Last Update Date:2015-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC4608122300000X
PADS0387591223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No1223P0221XDental ProvidersDentistPediatric Dentistry