Justin B Short Dmd PC

NPI #1043369101 in Troy, Missouri

Provider Information

NPI Number: 1043369101
Entity Type: Organization
Organization Name: Justin B Short Dmd PC
Primary Specialty: Dentist
Enumeration Date: Jan 9, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 395 E CHERRY ST
City: Troy
State: Missouri
ZIP Code: 63379
Phone: (636) 462-8599

Authorized Official

Name: DR. JUSTIN BRYAN SHORT, DMD
Title: DENTIST
Phone: (314) 406-8202

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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