Organization
JUSTIN B SHORT DMD PC
Active
Other names
Lincoln County Dental LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUSTIN BRYAN SHORT DMD (DENTIST)
(314) 406-8202
Entity
Organization
Contact information
Practice address
395 E CHERRY ST, TROY, MO 63379
(636) 462-8599
(636) 462-8597
Mailing address
395 E CHERRY ST, TROY, MO 63379
(636) 462-8599
(636) 462-8597
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2005026026
MO
Other
Enumeration date
01/09/2007
Last updated
08/22/2020
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