Kevin Sean Short, DDS

General Practice Dentistry · Cumming, GA

Individual Active NPI

NPI number 1306930607

Practice location

1200 Bald Ridge Marina Rd
Suite 200
Cumming, GA 30041-8494
Phone
(770) 781-8650
Fax
(770) 781-2953

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NPI record

NPI
1306930607
Entity type
Individual (Type 1)
Enumeration date
October 3, 2006
Last updated
July 8, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X DN011242 GA

Mailing address

PO Box 599
Cumming, GA 30028-0599
Phone
(770) 781-8650
Fax
(770) 781-2953

About Dr. Short

Kevin Sean Short, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 1200 Bald Ridge Marina Rd, Suite 200, Cumming, GA 30041-8494. The NPI number 1306930607 was assigned on October 3, 2006 and the record was last updated on July 8, 2007.

Dr. Short lists a license in the registry: #DN011242 (GA) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Kevin Sean Short, DDS?

The NPI number is 1306930607.

What is the phone number of Dr. Short?

The phone number listed for the practice location is (770) 781-8650.

Where is Dr. Short located?

1200 Bald Ridge Marina Rd, Suite 200, Cumming, GA 30041-8494.

What is the taxonomy code for Dr. Short?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

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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