| Justin B Short Dmd Pc | |
|
395 E Cherry St Troy MO 63379 | |
| (636) 462-8599 | |
| (636) 462-8597 |
| Full Name | Justin B Short Dmd Pc |
|---|---|
| Speciality | Dentist |
| Location | 395 E Cherry St, Troy, Missouri |
| Authorized Official Name and Position | Justin Bryan Short (DENTIST) |
| Authorized Official Contact | 3144068202 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Justin B Short Dmd Pc 395 E Cherry St Troy MO 63379 Ph: (636) 462-8599 | Justin B Short Dmd Pc 395 E Cherry St Troy MO 63379 Ph: (636) 462-8599 |
| NPI Number | 1043369101 |
|---|---|
| Provider Enumeration Date | 01/09/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043369101 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 2005026026 (Missouri) | Primary |
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Terry M. Trezek Dental Group Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 395 E Cherry St, Troy, MO 63379 Phone: 636-462-8599 Fax: 636-528-8598 |