MITCHELL N SHAPIRO DDS PC (NPI# 1073993218) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073993218 |
| Entity Type | Organization |
| Organization Name | MITCHELL N SHAPIRO DDS PC |
| Other Organization Name | CENTER FOR COSMETIC DENTISTRY |
| Practice Address |
373 Route 111 Ste 16 Smithtown NY 11787-4759 |
| Practice Telephone | 6312652700 |
| Practice Fax Number | 6312651162 |
| Mailing Telephone | 6312652700 |
| Mailing Fax Number | 6312651162 |
| Enumeration Date | 2015-06-03 |
| Last Update Date | 2015-06-03 |
| Authorized Official Name | MITCHELL N SHAPIRO (OWNER) |
| Authorized Official Telephone | 6312652700 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 036755 | NY | Dental Providers |
| Other Name | Type Code |
|---|---|
| CENTER FOR COSMETIC DENTISTRY | Other Name - Individual/Organization |
| Street Address |
373 ROUTE 111 STE 16 |
| City | SMITHTOWN |
| State | NY |
| Zip Code | 11787-4759 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881686418 | Morton B Weinberg | Dermatology | 373 Route 111, Suite 10, Smithtown, NY 11787-4759 | 2005-08-19 |
| 1215245220 | Andreas Costas Michaelides | Psychologist | 373 Route 111, Suite 10, Smithtown, NY 11787-4759 | 2010-09-24 |
| 1609103522 | Morton B Weinberg Md PC | Dermatology | 373 Route 111, Suite 10, Smithtown, NY 11787-4759 | 2009-11-13 |
| 1790907566 | Mitchell Neil Shapiro | Dentist | 373 Route 111, Suite 16, Smithtown, NY 11787-4759 | 2007-05-02 |
| 1881758225 | Total Foot Care,pc | Podiatrist | 373 Route 111, Smithtown, NY 11787-4759 | 2006-12-20 |
| 1790846244 | Mark Julian Zuckerman | Psychiatry & Neurology | 373 Route 111, Suite 20, Smithtown, NY 11787-4759 | 2006-12-12 |
| 1235201328 | Elite Medical,pc | Internal Medicine | 373 Route 111, Suite 14, Smithtown, NY 11787-4759 | 2006-11-14 |
| 1093803785 | Howard S Lynn | Urology | 373 Route 111, Suite 7, Smithtown, NY 11787-4759 | 2006-10-10 |
| 1215038666 | Amy Shapiro | Dietitian, Registered | 373 Route 111, Suite 16, Smithtown, NY 11787-4759 | 2006-09-26 |
| 1487673612 | Alexander Epelbaum | Urology | 373 Route 111, Suite 7, Smithtown, NY 11787-4759 | 2006-07-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558962779 | Gwendolyn Burris | Counselor | 20 Gilbert Avenue, Suite 107-a, Smithtown, NY 11787 | 2020-11-04 |
| 1467051193 | Karin M Caro | Adult Companion | 9 Three Pond Road, Smithtown, NY 11787 | 2020-10-23 |
| 1639706641 | Nimit Khara | Student in an Organized Health Care Education/Training Program | 240 Middle Country Rd A, Smithtown, NY 11787 | 2020-03-27 |
| 1003469032 | Maria Teresa Gardella | Nurse Practitioner | St. Catherine of Siena Medical Center, 50 Ny-25a, Smithtown, NY 11787 | 2019-07-18 |
| 1558922070 | Pamella Ann Grillo | Physician Assistant | 373 Ny-111 #5, Smithtown, NY 11787 | 2019-06-25 |
| 1306308127 | Sherry Hansen | Social Worker | 285 Middle Country Rd, Suite Ll5, Smithtown, NY 11787 | 2019-04-01 |
| 1932663747 | Kayla Roundsman | Counselor | 11 Route 11, Smithtown, NY 11787 | 2019-01-25 |
| 1568959856 | Moreen Johnson | Registered Nurse | Christian Nursing Registry, 17 Bank Ave, Smith Town, NY 11787 | 2018-04-23 |
| 1992217871 | Erica Zeller Licensed Clinical Social Work Pllc | Social Worker | 15 Bellemeade Ave Ste 3, Smithtown, NY 11787 | 2017-10-31 |
| 1881117802 | Oisin Vincent Keenan | Case Manager/Care Coordinator | 11 Ny-111, Smithtown, NY 11787 | 2017-07-21 |
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| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972844512 | Bertrand Robert Schenk | Dentist | 98 Redan Dr, Smithtown, NY 11787-4463 | 2013-03-06 |
| 1538322680 | Norman Mitchell Rubin | Dentist | 23 Route 111, Smithtown, NY 11787-3739 | 2008-07-09 |
| 1750555991 | Michael Kampourakis | Dentist | 886 W Jericho Tpke, Smithtown, NY 11787-3206 | 2008-04-18 |
| 1083810618 | Holly Gross | Dentist | 58 Leslie Lane, Smithtown, NY 11787 | 2007-06-21 |
| 1427265644 | Harold Richard Strauss | Dentist | 14 Sandpiper Court, Smithtown, NY 11787 | 2007-05-17 |
| 1053468793 | Perratto and Chimenti LLP | Dentist | 285 Middle Country Road, Suite Ll3, Smithtown, NY 11787 | 2007-01-04 |
| 1720098825 | Fran W Eichler | Dentist | One Annette Ave, Smithtown, NY 11787 | 2006-08-09 |
| 1619933231 | Steven Jay Sharpe | Dentist | 1041 W Jericho Tpk, Ste F, Smithtown, NY 11787 | 2006-04-22 |
| 1285610329 | Danielle Leah Sim | Dentist | 149 Avalon Cir, Smithtown, NY 11787-3871 | 2005-12-21 |
| 1619501913 | Ny Metro Dental, PC | Dentist | 335 Terry Rd, Smithtown, NY 11787-5510 | 2020-02-25 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.