George M Short in Jackson - Pediatric Dentistry
George M Short - NPI 1144219619
George M Short is a Pediatric Dentistry in Jackson, Tennessee. George M Short practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for George M Short is 1144219619. The last update date is 2007-07-09.
George M Short's current location address is 33 Stonebridge Blvd, Jackson, Tennessee. You can contact this provider via phone number 7316683411 and fax number 7316683410. The mailing address for George M Short is 33 Stonebridge Blvd, Jackson, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | George M Short |
|---|---|
| Address | 33 Stonebridge Blvd, Jackson, Tennessee |
| Phone Number | 7316683411 |
| Fax Number | 7316683410 |
| Sole Proprietor | X |
| Credentials | D.D.S., M. |
NPI Number Detail
| NPI Number | 1144219619 |
|---|---|
| Provider Enumeration Date | 2005-10-18 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 33 Stonebridge Blvd |
|---|---|
| City | Jackson |
| State | Tennessee (TN) |
| Post Code | 383052042 |
| Phone Number | 7316683411 |
| Fax Number | 7316683410 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | DS2421 |
|
Definition: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3219278 | TN | -- |
Post Comment/ Review Below
What is the George M Short's 1144219619?
The George M Short's NPI (National Provider Identifier) Number is 1144219619. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where George M Short's facilities are geographically located?
The facilities of George M Short are physically situated at the following location: 33 Stonebridge Blvd, Jackson, TN, 383052042.
What is the George M Short's specialty and taxonomy code?
The George M Short's specialty is Pediatric Dentistry, and the corresponding taxonomy code is 1223P0221X.
When did the George M Short receive its 1144219619?
The George M Short was issued its 1144219619 on 2005-10-18, which is the date when the organization was assigned this unique identifier.
When was the information regarding George M Short most recently updated?
The details pertaining to the George M Short, including its address, specialty, and other relevant information, were last refreshed on 2007-07-09.
NPI Number: 1588667679
Address: 9104 Babcock Blvd, Pittsburgh, PA