DR. JUSTIN SHORT (NPI# 1356652184) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356652184 |
| Entity Type | Individual |
| Full Name | DR. JUSTIN SHORT |
| Credential | DMD |
| Practice Address |
395 E Cherry St Troy MO 63379-1405 |
| Practice Telephone | 6364628599 |
| Practice Fax Number | 6364628597 |
| Mailing Telephone | 6364628599 |
| Mailing Fax Number | 6364628597 |
| Enumeration Date | 2010-06-26 |
| Last Update Date | 2010-06-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 2005026026 | MO | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669826509 | Justin Kyle Short | Counselor | 50 West Techne Dr. Suite B-5, Milford, OH 45150 | 2016-04-18 |
| 1780002147 | Justin Louis Short | Marriage & Family Therapist | 266 Beacon St Ste 4, Boston, MA 02116-1288 | 2014-04-02 |
| 1811528375 | Justin James Short | Behavior Technician | 1887 Monterey Hwy Ste 225, San Jose, CA 95112-6192 | 2020-02-03 |
| 1538504246 | Justin Joseph Short | Acupuncturist | 7310 Heritage Village Plz, Gainesville, VA 20155-3303 | 2013-05-08 |
| 1386941052 | Justin Short | Case Manager/Care Coordinator | 1340 S Waldron Rd, Fort Smith, AR 72903-2556 | 2011-02-16 |
| Street Address |
395 E CHERRY ST |
| City | TROY |
| State | MO |
| Zip Code | 63379-1405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043369101 | Justin B Short Dmd PC | Dentist | 395 E Cherry St, Troy, MO 63379 | 2007-01-09 |
| 1972952653 | Terry M. Trezek Dental Group | Dentist | 395 E Cherry St, Troy, MO 63379-1405 | 2016-06-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336746601 | Cathleen Burks | Counselor | 384 Rockport Dr, Troy, MO 63379 | 2020-10-08 |
| 1851818058 | Sarah Tippit | Occupational Therapist | 39 Cattail Pl, Troy, MO 63379 | 2017-08-28 |
| 1104360239 | Lori Seulean LLC | Counselor | 410 Sydna Ct, Troy, MO 63379 | 2016-12-08 |
| 1659827210 | Elisabeth Marie Nation | Physical Therapist | 722 N Hwy 47 Suite A, Warrenton, MO 63379 | 2016-09-01 |
| 1598054587 | Janice Ann Mills | Counselor | 1385 Creech School Road, Troy, MO 63379 | 2011-03-31 |
| 1437450871 | All Family Chiropractic LLC | Chiropractor | 9 Plaza, Troy, MO 63379 | 2010-11-16 |
| 1063713246 | Troy Family Dentistry, LLC | Dentist | 128 Professional Parkway, Troy, MO 63379 | 2010-11-04 |
| 1437478476 | Jennifer G Ray | Pediatrics | 164 Professional Pkwy, Troy, MO 63379 | 2010-05-28 |
| 1184868523 | Troy Residential, LLC | Assisted Living Facility | 159 Professional Parkway, Troy, MO 63379 | 2009-04-29 |
| 1639356793 | Susan Kaye Galloway | Counselor | 104 Mound, Troy, MO 63379 | 2008-01-30 |
| Find all providers in zip 63379 | ||||
| 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 |
|---|---|---|---|---|
| 1154954550 | Lane and Associates Xxxvii Dds Pa | Dentist | 473 Woods Street, Troy, NC 27371 | 2020-02-14 |
| 1962051292 | Simon Park | Dentist | 172 W Wattles Rd, Troy, MI 48098-4685 | 2019-09-09 |
| 1255985289 | Zackery Ethan Eades | Dentist | 98 Oak Park Dr, Troy, AL 36079-3085 | 2019-07-29 |
| 1386298461 | Michelle Mari Szewczyk | Dentist | 755 W Big Beaver Rd Ste 250, Troy, MI 48084-4903 | 2019-07-28 |
| 1801449079 | Daniel Brystowski | Dentist | 650 E Big Beaver Rd Ste D, Troy, MI 48083-1432 | 2019-07-17 |
| 1275093247 | Kevin P Hagood | Dentist | 2480 Crooks Rd Apt 3, Troy, MI 48084-5530 | 2019-03-25 |
| 1942784418 | Dr. Mark B. Beard Dds, Inc | Dentist | 102 E Walnut St, Troy, KS 66087-5006 | 2018-09-20 |
| 1285120071 | Stephen Charles Degenhardt | Dentist | 2877 Crooks Rd Ste A, Troy, MI 48084-4717 | 2018-07-05 |
| 1093238966 | Yousif Gagi | Dentist | 525 E Big Beaver Rd Ste 110, Troy, MI 48083-1365 | 2017-07-21 |
| 1841710837 | James L Chang | Dentist | 1883 E Wattles, Troy, MI 48085 | 2017-06-21 |
| Find all providers in TROY | ||||
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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.