Individual
WILLIAM DAVID SHORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1619 LIVE OAK ST, BEAUFORT, NC 28516-1520
(252) 728-4570
Mailing address
1619 LIVE OAK ST, BEAUFORT, NC 28516-1520
(252) 728-4570
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4403
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89-97787
—
NC
Enumeration date
01/20/2015
Last updated
01/20/2015
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