Taylor Russel Short, DDS

Dentist · Fordland, MO

Individual Active NPI

NPI number 1235751652

Practice location

1059 Barton Dr
Fordland, MO 65652-7350
Phone
(417) 767-2273
Fax
(417) 767-2273

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NPI record

NPI
1235751652
Entity type
Individual (Type 1)
Enumeration date
May 7, 2020
Last updated
August 10, 2021
Certified
August 10, 2021
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 2020018039 MO
Dentist 122300000X 7336 OK

About Dr. Short

Taylor Russel Short, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 1059 Barton Dr, Fordland, MO 65652-7350. The NPI number 1235751652 was assigned on May 7, 2020 and the record was last updated on August 10, 2021.

Dr. Short lists 2 licenses in the registry: #2020018039 (MO) for Dentist; #7336 (OK) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Taylor Russel Short, DDS?

The NPI number is 1235751652.

What is the phone number of Dr. Short?

The phone number listed for the practice location is (417) 767-2273.

Where is Dr. Short located?

1059 Barton Dr, Fordland, MO 65652-7350.

What is the taxonomy code for Dr. Short?

The primary taxonomy code is 122300000X – Dentist; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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