Organization
LISA TRIPLETT-SHORT, DMD, PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA RENEE TRIPLETT-SHORT DMD (DENTIST)
(606) 785-0600
Entity
Organization
Contact information
Practice address
1970 HIGHWAY 160 S, HINDMAN, KY 41822
(606) 785-0600
(606) 785-0073
Mailing address
PO BOX 1150, HINDMAN, KY 41822-1150
(606) 785-0600
(606) 785-0073
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
6526
KY
1223D0001X
Public Health Dentistry
Primary
6526
KY
Other
Enumeration date
12/07/2011
Last updated
12/07/2011
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