Loren E. Short in Caldwell - Orthodontics And Dentofacial Orthopedics

Loren E. Short - NPI 1053597245

Loren E. Short is a Orthodontics And Dentofacial Orthopedics in Caldwell, Idaho. Loren E. Short practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for Loren E. Short is 1053597245. The last update date is 2008-01-17.

Loren E. Short's current location address is 4203 Clock Tower Ave., Caldwell, Idaho. You can contact this provider via phone number 2084544112 and fax number 2084545155. The mailing address for Loren E. Short is 4203 Clock Tower Ave., Caldwell, Idaho. To know further, please read the information below!

Provider Profile Detail

Provider Name Loren E. Short
Address 4203 Clock Tower Ave., Caldwell, Idaho
Phone Number 2084544112
Fax Number 2084545155
Sole Proprietor N
Credentials D.M.D.

NPI Number Detail

NPI Number 1053597245
Provider Enumeration Date 2008-01-17
Last Updated Date 2008-01-17

Provider Mailing Address Detail

Address 4203 Clock Tower Ave.
City Caldwell
State Idaho (ID)
Post Code 836075006
Phone Number 2084544112
Fax Number 2084545155

Provider's Primary Taxonomy Detail

Speciality Orthodontics And Dentofacial Orthopedics
Taxonomy 1223X0400X
Licence No D-4121-OR
Definition:
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their rel

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FAQs about Loren E. Short

What is the unique identification code assigned to Loren E. Short by the Centers for Medicare & Medicaid Services?

The Loren E. Short has been issued the NPI (National Provider Identifier) 1053597245. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Loren E. Short is physically located?

The Loren E. Short is physically situated at the following address: 4203 Clock Tower Ave., Caldwell, ID, 836075006.

What is Loren E. Short's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Loren E. Short is Orthodontics And Dentofacial Orthopedics, and the taxonomy code that classifies this field of practice is 1223X0400X.

On what date was the 1053597245 assigned to Loren E. Short?

The Loren E. Short was issued its 1053597245 on 2008-01-17, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information pertaining to Loren E. Short most recently updated or revised?

The details related to Loren E. Short, including its address, specialty, and other relevant information, were last updated or revised on 2008-01-17.

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