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Dr. George M Short, DDS,MS
Pediatric Dentist in Jackson, Tennessee
NPI 1144219619

George M Short is a Pediatric Dentist based in Jackson, TN and is specialized in Pediatric Dentistry. George M Short practices in Jackson, TN and has the professional credentials of DDS,MS. The NPI Number for George M Short is 1144219619 and holds a License No. DS2421 (Tennessee).

The current practice location address for George M Short is 33 Stonebridge Blvd, Jackson, TN and can be reached out via phone at 731-668-3411 and via fax at 731-668-3410.

Location: 33 Stonebridge Blvd, Jackson, TN, 38305-2042
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1144219619
Provider Name
George M Short
Credential
DDS,MS
Provider Entity Type
Individual
Gender
Male
Address
33 Stonebridge Blvd, Jackson, TN, 38305-2042
Phone Number
731-668-3411
Fax Number
731-668-3410
Provider Enumeration Date
10/18/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3219278 05 TN
institution
Provider Business Practice Location Address Details
Address
33 Stonebridge Blvd
City
Jackson
State
Tennessee
Zip
38305-2042
Phone Number
731-668-3411
Fax Number
731-668-3410
person
Provider Business Mailing Address Details
Address
33 Stonebridge Blvd
City
Jackson
State
Tennessee
Zip
38305-2042
Phone Number
731-668-3411
Fax Number
731-668-3410
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
DS2421 (Tennessee)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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