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Dr. Kevin Sean Short, DDS
General Practice Dentistry in Cumming, Georgia
NPI 1306930607

Kevin Sean Short is a General Practice Dentistry based in Cumming, GA and is specialized in General Practice. Kevin Sean Short practices in Cumming, GA and has the professional credentials of DDS. The NPI Number for Kevin Sean Short is 1306930607 and holds a License No. DN011242 (Georgia).

The current practice location address for Kevin Sean Short is 1200 Bald Ridge Marina Rd, Cumming, GA and can be reached out via phone at 770-781-8650 and via fax at 770-781-2953. You can also correspond with Kevin Sean Short through the mailing address at PO BOX 599, CUMMING, GA - 30028-0599 (mailing address contact number: 770-781-8650).

Location: 1200 Bald Ridge Marina Rd, Cumming, GA, 30028-0599
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Provider Profile Details
NPI Number
1306930607
Provider Name
Kevin Sean Short
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
1200 Bald Ridge Marina Rd, Cumming, GA, 30028-0599
Phone Number
770-781-8650
Fax Number
770-781-2953
Provider Enumeration Date
10/03/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
825012 01 GA UNITED CONCORDIA
4080537 01 TN BC/BS
institution
Provider Business Practice Location Address Details
Address
1200 Bald Ridge Marina Rd
City
State
Zip
30041-8494
Phone Number
770-781-8650
Fax Number
770-781-2953
person
Provider Business Mailing Address Details
Address
1200 Bald Ridge Marina Rd
City
State
Zip
30041-8494
Phone Number
770-781-8650
Fax Number
770-781-2953
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
License No.
DN011242 (Georgia)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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