Thomas P Shortell, DDS

NPI #1518083997 in Mission, Kansas

Provider Information

NPI Number: 1518083997
Entity Type: Individual
Name: Thomas P Shortell, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Mar 21, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 5930 ROE AVE
Address 2: SUITE 200
City: Mission
State: Kansas
ZIP Code: 66205-3050
Phone: (913) 432-8700

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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