James Gerard Shortell in Saint Louis - Dentist
James Gerard Shortell - NPI 1760568653
James Gerard Shortell is a Dentist in Saint Louis, Missouri. James Gerard Shortell practices all healthcare services and medical treatments related to Dentist. The NPI Number for James Gerard Shortell is 1760568653. The last update date is 2007-07-08.
James Gerard Shortell's current location address is 1608 S Big Bend Blvd, Saint Louis, Missouri. You can contact this provider via phone number 3147817352. The mailing address for James Gerard Shortell is 1608 S Big Bend Blvd, Saint Louis, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | James Gerard Shortell |
|---|---|
| Address | 1608 S Big Bend Blvd, Saint Louis, Missouri |
| Phone Number | 3147817352 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1760568653 |
|---|---|
| Provider Enumeration Date | 2006-10-31 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1608 S Big Bend Blvd |
|---|---|
| City | Saint Louis |
| State | Missouri (MO) |
| Post Code | 631172208 |
| Phone Number | 3147817352 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 12746 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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What is the unique identification code assigned to James Gerard Shortell by the Centers for Medicare & Medicaid Services?
The James Gerard Shortell has been issued the NPI (National Provider Identifier) 1760568653. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the James Gerard Shortell located?
The James Gerard Shortell is located at 1608 S Big Bend Blvd, Saint Louis, MO 631172208.
What is James Gerard Shortell's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for James Gerard Shortell is Dentist, and the taxonomy code that categorizes this field of expertise is 122300000X.
On what date did the James Gerard Shortell receive the assignment of its 1760568653 from the Centers for Medicare & Medicaid Services?
The James Gerard Shortell was issued its 1760568653 by the Centers for Medicare & Medicaid Services on 2006-10-31.
When was the James Gerard Shortell's information last updated?
The James Gerard Shortell's information was last updated on 2007-07-08.