A Bernard Short DDS PC
Organization Active NPI General Practice Dentistry · Joplin, MO
NPI 1457795031 · NPPES record last updated Sep 13, 2013
Key facts
- NPI
- 1457795031
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Dentistry 1223G0001X
- Legal business name
- A BERNARD SHORT DDS PC
- Practice address
- 2710 S Picher Ave
Joplin, MO 64804-1643 - Phone
- (417) 623-6141
- NPI assigned
- Apr 25, 2013
- Organization subpart
- No
Authorized official
- Name
- Dr. Arthur Bernard Short, DDS
- Title
- Owner
- Phone
- (417) 623-6141
Practitioners 1
-
Arthur Bernard Short, DDS
National Provider Directory
Locations
2710 S Picher Ave
Joplin, MO 64804
Phone (417) 623-6141
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry |
1223G0001X | Yes |
Addresses
Primary practice location
2710 S Picher Ave
Joplin, MO 64804-1643
Mailing address
2710 S Picher Ave
Joplin, MO 64804-1643
Phone (417) 623-6141
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 13, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.