Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. TAYLOR RUSSEL SHORT, DDS
Active Sole ProprietorDR. TAYLOR RUSSEL SHORT, DDS is a Dentist healthcare provider located in FORDLAND, Missouri. NPI 1235751652 is currently active in the NPPES registry. Verify at CMS.
Dentist · FORDLAND, MO
Registration Details
- NPI Number
- 1235751652
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 7, 2020 (6.2510518989144 yrs)
- Last Updated
- Aug 10, 2021
- Licenses
-
7336 (OK)2020018039 (MO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1059 BARTON DRFORDLAND, MO, 656527350Browse MO providers · Browse ZIP 65652
- Phone
- 4177672273
- Fax
- 4177672273
- Primary Specialty
-
Dentist
122300000X
- Additional Specialty
- Dentist
Other Dentist Providers in FORDLAND, MO
| Name | Credential | NPI |
|---|---|---|
| ROBERT DANIEL DUNAVANT | DDS | 1295022341 |
| EVAN ROWLAND | DDS | 1124703780 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.