Individual
DR. ALLAN MICHAEL SHORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
189 MAIN STREET, SUITE 2 2ND FLOOR, MILFORD, MA 01757
(508) 473-4220
(508) 473-1442
Mailing address
189 MAIN STREET, SUITE 2 2ND FLOOR, MILFORD, MA 01757
(508) 473-4220
(508) 473-1442
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
10551
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
X05705
BLUE CROSS BLUE SHIELD
MA
Enumeration date
11/24/2006
Last updated
07/08/2007
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