DR. Taylor Russel Short, DDS

NPI #1235751652 in Fordland, Missouri

Provider Information

NPI Number: 1235751652
Entity Type: Individual
Name: DR. Taylor Russel Short, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: May 7, 2020
Last Updated: Aug 10, 2021

Practice Location

Address: 1059 BARTON DR
City: Fordland
State: Missouri
ZIP Code: 65652-7350
Phone: (417) 767-2273

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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