Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jordan Harris Shapiro, DMD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1225562549

Jordan Harris Shapiro, DMD is an Oral Surgery in Pembroke Pines, Florida. Graduated from Tufts University School of Dental Medicine in 2017, 9 years ago. Practices with Alfredo Tendler DMD PA, a 3-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida and Massachusetts.

Years since qualifying
9
Trained at
Tufts University School of Dental Medicine
Licensed in
FL, MA
In the registry since
2017
Specialties on file
3
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

17901 NW 5th St Ste 101
Pembroke Pines, FL 33029-2810
Phone: (954) 437-2222
Fax: (954) 437-2244
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2600 N Military Trl Ste 350, Boca Raton, FL 33431-6315 — (561) 465-2059

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence DN26579 (FL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X
Oral and Maxillofacial Surgery (Dentist) Taxonomy 1223S0112X · Licence DL13293 (MA)

Record details

NPI number1225562549
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedApril 13, 2017
Last updated in NPPESMay 21, 2024
Certification dateMay 21, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyORAL SURGERY
Also practisesMAXILLOFACIAL SURGERY
Medical schoolTUFTS UNIVERSITY SCHOOL OF DENTAL MEDICINE
Graduated 2017 (9 years in practice)
Group practice Alfredo Tendler Dmd Pa — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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