Kenneth Dewayne Short D.D.S.

NPI 1093739856 - Dentist - 1223G0001X

NPI Details
NPI 1093739856
Gender Male
Enumeration Date 07/26/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
BOYD TX, 76023-3104, US
Phone (940) 433-8545
Fax (940) 433-0155
Business Location
PO BOX 319
BOYD TX, 76023-0319, US
Phone (940) 433-8545
Fax (940) 433-0155
Taxonomy Code 1223G0001X
License State Texas
License Number 14693
Remove 1093739856 NPI Number

According to our database, Dr. Kenneth Dewayne Short D.D.S. NPI is 1093739856, taxonomy code is 1223G0001X and license number is 14693, license state is located at Texas. Kenneth Dewayne Short D.D.S. physically located at 412 West Rock Island, Boyd TX, 76023-3104. NPI Number Kenneth Dewayne Short D.D.S. has the Individual type.

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1093739856 NPI number is provided on an as is basis without warranty of any kind. 1093739856 is maintained by the National Plan & Provider Enumeration System. The contents of Kenneth Dewayne Short D.D.S. are for informational purposes only.