| W. David Short, Dmd, Pa | |
|
1619 Live Oak St Beaufort NC 28516-1520 | |
| (252) 728-4570 | |
| (252) 728-4835 |
| Full Name | W. David Short, Dmd, Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1619 Live Oak St, Beaufort, North Carolina |
| Authorized Official Name and Position | W David Short (PRES/OWNER) |
| Authorized Official Contact | 2527284570 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| W. David Short, Dmd, Pa 1619 Live Oak St Beaufort NC 28516-1520 Ph: (252) 728-4570 | W. David Short, Dmd, Pa 1619 Live Oak St Beaufort NC 28516-1520 Ph: (252) 728-4570 |
| NPI Number | 1487699930 |
|---|---|
| Provider Enumeration Date | 06/18/2006 |
| Last Update Date | 03/25/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487699930 | NPI | - | NPPES |
| 8997787 | Medicaid | NC | |
| 97787 | Other | NC | BC/BS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 4403 (North Carolina) | Primary |
Beaufort Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 906 Live Oak St, Beaufort, NC 28516 Phone: 252-725-4570 Fax: 252-728-4835 | |
Enc Prosthodontics Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 906 Live Oak St, Beaufort, NC 28516 Phone: 252-417-2460 | |
Family Dentistry For A Lifetimes Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1621 Live Oak St, Beaufort, NC 28516 Phone: 252-728-2025 Fax: 252-728-3326 | |
Linda Patterson Swain D D S P A Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 Lockhart Dr, Beaufort, NC 28516 Phone: 252-504-2138 Fax: 252-504-3752 |