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Organization
W. DAVID SHORT, DMD, PA
Active
Organization
W. DAVID SHORT, DMD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. W DAVID SHORT DMD (PRES/OWNER)
(252) 728-4570
Entity
Organization
Contact information
Practice address
1619 LIVE OAK ST, BEAUFORT, NC 28516-1520
(252) 728-4570
(252) 728-4835
Mailing address
1619 LIVE OAK ST, BEAUFORT, NC 28516-1520
(252) 728-4570
(252) 728-4835
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4403
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8997787
—
NC
01
—
97787
BC/BS
NC
Enumeration date
06/18/2006
Last updated
03/25/2013
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