NPI 1235352428

Steven John Short, DDS

Practitioner General Practice Dentistry Kilmarnock, VA

Practice location

Address: 508 Irvington Rd, Kilmarnock, VA 22482
Phone: (804) 435-3102
Mailing address: PO Box 1935, Kilmarnock, VA 22482-1935

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence 0401412118 (VA)

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Registry record

NPI: 1235352428
Entity type: Individual
Sex (as registered): Male
NPI issued: 10 Apr 2007
Record last updated: 7 Jan 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.