Individual
DR. EVAN J SHORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
760 BELOIT RD, BELVIDERE, IL 61008-1745
(815) 547-5151
(815) 547-5336
Mailing address
3996 RED CEDAR DR UNIT A3, HIGHLANDS RANCH, CO 80126-8066
(303) 470-9696
(216) 584-1364
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019034032
IL
122300000X
Dentist
DEN.00202905
CO
1223G0001X
General Practice Dentistry
7023
AZ
1223G0001X
General Practice Dentistry
DEN.00202905
CO
Other
Enumeration date
12/28/2006
Last updated
01/10/2024
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