| Thomas P. Shortell Dds | |
|
5930 Roe Ave Ste 200 Mission KS 66205-3062 | |
| (913) 432-8700 | |
| (913) 273-7491 |
| Full Name | Thomas P. Shortell Dds |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 5930 Roe Ave Ste 200, Mission, Kansas |
| Authorized Official Name and Position | Thomas Shortell (OWNER) |
| Authorized Official Contact | 9134328700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas P. Shortell Dds 5930 Roe Ave Ste 200 Mission KS 66205-3062 Ph: (913) 432-8700 | Thomas P. Shortell Dds 5930 Roe Ave Ste 200 Mission KS 66205-3062 Ph: (913) 432-8700 |
| NPI Number | 1932830692 |
|---|---|
| Provider Enumeration Date | 06/22/2022 |
| Last Update Date | 06/22/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932830692 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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