Savannah Lauren Short, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN122388 Issued in GA

Practice address

2419 Roswell Rd
Marietta, GA 30062-4955

Phone

(770) 977-5547

NPI assigned

Jun 29, 2021

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Waldron and Lee Dentistry LLC

  • Dentist
  • Marietta, GA
  • NPI 1972090504
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1624924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624924800000",
    "number": "1417527730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 AVERY ESTATES DR",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301152703",
            "telephone_number": "404-583-8955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2419 ROSWELL RD",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300624955",
            "telephone_number": "770-977-5547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHORT",
        "first_name": "SAVANNAH",
        "middle_name": "LAUREN",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-29",
        "last_updated": "2021-06-29",
        "certification_date": "2021-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN122388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lance David Sholes, PHARMD
• Courtney Belle Shook, LPC
• Richard E Shook, PH.D.
• Vera Melinda Shook, LPN
• Crystal Marie Shores, RD, LD
• Sahir G Shroff, M.D.
• Shu-Re-Nu Equipment Inc.
• Li Hua Shu, LICENSE ACUPUNCTURIS
• Shubhang Mazumdar MD
• Carlton Joshua Shuford, PA-C

• General Practice Dentistry in Marietta, GA
• Providers in Marietta, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.