Dr. Ricky Todd Short, DDS Doctor of Dental
Dentist, General Practice in Amarillo, TX. Individual provider (NPI-1).
NPI number1861576829
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1861576829
- Entity type
- Individual (NPI-1)
- Name
- Dr. Ricky Todd Short
- Credential
- DDS Doctor of Dental
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 25, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | TX19351 | TX | Yes |
Practice location
3503 S SoncyAmarillo, TX 79119
Phone 806-374-8011 · Fax 806-356-0281
Mailing address
3503 S SoncyAmarillo, TX 79119
Phone 806-374-8011 · Fax 806-356-0281
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