Individual
ASHTON GRAHAM SHORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1061 HARMON AVE STE 200, FORT STEWART, GA 31314-5641
(571) 802-0376
Mailing address
1061 HARMON AVE STE 200, FORT STEWART, GA 31314-5641
(571) 802-0376
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
61095165
WA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DE61095165
WA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DN123936
GA
Other
Enumeration date
09/09/2020
Last updated
02/01/2026
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