Mrs Misty M Short Cline, DDS is a
Dentist based in Bluefield, Virginia. Mrs Misty M Short Cline is licensed to practice in Virginia (license number 0401412415) and her current practice location is
517 Tazewell Ave, Bluefield, Virginia. She can be reached at her office (for appointments etc.) via phone at
(276) 322-7568.
NPI number for Mrs Misty M Short Cline is 1366600850 and her current mailing address is 517 Tazewell Ave, Bluefield, Virginia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1366600850.
Healthcare Provider's Profile
| Full Name | Mrs Misty M Short Cline |
|---|
| Gender | Female |
|---|
| Speciality | Dentist |
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| Location | 517 Tazewell Ave, Bluefield, Virginia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1366600850
- Provider Enumeration Date: 05/30/2008
- Last Update Date: 01/21/2021
Medical Identifiers
Medical identifiers for Mrs Misty M Short Cline such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1366600850 | NPI | - | NPPES |
| 3810012047 | Medicaid | WV | |
| 1366600850 | Medicaid | VA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1223G0001X | Dentist - General Practice | 3816 (West Virginia) | Secondary |
| 122300000X | Dentist | 0401412415 (Virginia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Misty M Short Cline is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mrs Misty M Short Cline, DDS
517 Tazewell Ave,
Bluefield, VA 24605-1724
Ph: (276) 322-7568 | Mrs Misty M Short Cline, DDS
517 Tazewell Ave,
Bluefield, VA 24605-1724
Ph: (276) 322-7568 |
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