Individual provider · Type 1 NPI

Jacksie Short, DMD

General Practice Dentistry · Joplin, MO

NPI number 1790207546 Active

About NPI 1790207546

Jacksie Short, DMD's National Provider Identifier is 1790207546, issued on Jul 13, 2017. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Joplin, MO. The record was last updated on Jul 5, 2018.