Individual
DR. JAMES GERARD SHORTELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1608 S BIG BEND BLVD, SAINT LOUIS, MO 63117-2208
(314) 781-7352
Mailing address
1608 S BIG BEND BLVD, SAINT LOUIS, MO 63117-2208
(314) 781-7352
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12746
MO
Other
Enumeration date
10/31/2006
Last updated
07/08/2007
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