Provider Demographics
NPI:1528291689
Name:SHAPIRO, HELENE (DMD)
Entity type:Individual
Prefix:
First Name:HELENE
Middle Name:
Last Name:SHAPIRO
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 RUBY FIELD CT
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21209-1559
Mailing Address - Country:US
Mailing Address - Phone:201-417-5119
Mailing Address - Fax:
Practice Address - Street 1:6015 YORK RD
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21212-3032
Practice Address - Country:US
Practice Address - Phone:410-670-5354
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-24
Last Update Date:2016-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD14458122300000X
NJ22DI024189001223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No1223G0001XDental ProvidersDentistGeneral Practice