DR. TAYLOR RUSSEL SHORT (NPI# 1235751652) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235751652 |
| Entity Type | Individual |
| Full Name | DR. TAYLOR RUSSEL SHORT |
| Credential | DDS |
| Practice Address |
33 Gage Dr # 5862 Hollister MO 65672-5862 |
| Mailing Address |
440 E Tampa St Springfield MO 65806-1131 |
| Practice Telephone | 4173348300 |
| Mailing Telephone | 4178511551 |
| Mailing Fax Number | 4178653479 |
| Enumeration Date | 2020-05-07 |
| Last Update Date | 2020-08-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | 7336 | OK | Dental Providers |
| Y | 122300000X | Dentist | 2020018039 | MO | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447736939 | Taylor Lynn Short | Nurse Practitioner | 86-260 Farrington Hwy, Waianae, HI 96792-3128 | 2018-07-17 |
| Street Address |
33 GAGE DR # 5862 |
| City | HOLLISTER |
| State | MO |
| Zip Code | 65672-5862 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760992994 | Lajan Kayle Taylor | Speech-Language Pathologist | 11103 Historic Hwy. 165, Hollister, MO 65672 | 2017-10-02 |
| 1417094087 | Canote Pharmacy, Inc | Pharmacy | 215 Gage Drive, Suite L, Hollister, MO 65672 | 2007-01-31 |
| 1538247887 | Skaggs Community Hospital Association | Pediatrics | 590 Birch Street, Ste 2c, Hollister, MO 65672 | 2006-11-02 |
| 1396797585 | Christopher S Fletcher | Family Medicine | 10994 Historic Hwy 165, Hollister, MO 65672 | 2006-05-16 |
| 1366443962 | Johnny Lee Gillispie | Internal Medicine | 590 Birch Rd, Ste 1b, Hollister, MO 65672 | 2005-08-03 |
| 1154508752 | Woman's Clinic of Branson, LLC | Obstetrics & Gynecology | 590 Birch Rd, Suite 2-b, Hollister, MO 65672 | 2008-01-25 |
| 1164561148 | Canote Pharmacy, Inc | Pharmacy | 215 Gage Drive, Suite K, Hollister, MO 65672 | 2007-02-06 |
| 1316373145 | Toni D Mcclure | Social Worker | 115 Deep Forrest, Hollister, MO 65672-4104 | 2013-09-25 |
| 1548365448 | R Randall Sukman | Internal Medicine | 2331 S Business Highway 65, Hollister, MO 65672-5105 | 2006-09-14 |
| 1629230826 | Lionheart Holdings, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 2331 S Business Highway 65, Hollister, MO 65672-5105 | 2008-06-28 |
| Find all providers in zip 65672 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821425497 | Khoi Le, D.d.s Inc. | Dentist | 889 Sunset Dr, A, Hollister, CA 95023-5601 | 2013-09-27 |
| 1770718884 | Derek W Banks | Dentist | 1710 Memorial Dr Ste C, Hollister, CA 95023-5700 | 2009-05-19 |
| 1194918987 | Khoi Le | Dentist | 889 Sunset Dr Ste A, Hollister, CA 95023-5601 | 2007-08-24 |
| 1659417392 | Virginia Cavero | Dentist | 345 5 Street, Suite 2, Hollister, CA 95023-3844 | 2007-01-29 |
| 1639285190 | Tinh T. Phan | Dentist | 321 San Felipe Rd, Suite 8, Hollister, CA 95023-3025 | 2006-08-21 |
| 1609895184 | Diep H Le | Dentist | 195 Meridian St Ste A5, Hollister, CA 95023-2221 | 2006-07-18 |
| 1164073847 | Terence John Dominic Chen | Dentist | 351 Felice Dr, Hollister, CA 95023-3361 | 2019-09-24 |
| 1023506631 | Diana Mamaril Boado | Dentist | 893 Sunset Dr, Hollister, CA 95023 | 2018-04-30 |
| 1598115792 | Homayon Asadi | Dentist | 4 East St, Hollister, CA 95023-4004 | 2016-06-17 |
| 1528409869 | Roberta Van Chek | Dentist | 351 Felice Dr, Hollister, CA 95023-3361 | 2013-07-15 |
| Find all providers in HOLLISTER | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.