Shapiro, Bernard David
Shapiro, Bernard David is an individual health care provider with primary practice located at 1307 Silas Deane Highway , Wethersfield CT 06109. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Shapiro, Bernard David can be contacted via phone (860) 563-4058.Contact Information
Primary practice address
1307 Silas Deane Highway
Wethersfield CT 06109
Phone: (860) 563-4058
Fax: (860) 529-2906
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 4232 | Connecticut |
Profile Details
| NPI number | 1023011780 |
|---|---|
| LBN Legal business name | Shapiro, Bernard David |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 24th, 2005 |
| Last updated | Jan 27th, 2020 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1023011780 | NPPES |
| Connecticut | Other | 460468966 | TAX ID |
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