DR. Kevin Sean Short, DDS

NPI #1306930607 in Cumming, Georgia

Provider Information

NPI Number: 1306930607
Entity Type: Individual
Name: DR. Kevin Sean Short, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Oct 3, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 1200 BALD RIDGE MARINA RD
Address 2: SUITE 200
City: Cumming
State: Georgia
ZIP Code: 30041-8494
Phone: (770) 781-8650

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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