DR. JACKSIE SHORT, DMD

Dentist - General Practice

Active Individual
NPI: 1790207546

Practice Address

2819 E 29TH ST
Joplin, MO 64804

Phone: (417) 781-5530

Specialties

Specialty Code Primary License
Dentist - General Practice 1223G0001X Yes 2018013954 (MO)

Frequently Asked Questions

NPI 1790207546 is the National Provider Identifier for DR. JACKSIE SHORT, DMD, a Dentist - General Practice provider located in Joplin, MO. This NPI was enumerated on July 13, 2017.
DR. JACKSIE SHORT, DMD practices at 2819 E 29TH ST, Joplin, MO 64804.

Quick Facts

NPI
1790207546
Type
Individual
Enumerated
Jul 13, 2017
Last Updated
Jul 5, 2018

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