Individual
DR. ROBERT TEEL SHORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2521 SUMMERLEE RD, OAK HILL, WV 25901
(304) 465-8705
(304) 465-2163
Mailing address
PO BOX 1, OAK HILL, WV 25901
(304) 465-8705
(304) 465-2163
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2206
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0135971000
—
WV
Enumeration date
12/05/2006
Last updated
07/08/2007
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