Active NPI 1790207546 Individual Practitioner Female Practitioner

Dr. Jacksie Short , DMD

Dentist - General Practice • Joplin, MO

Professional Overview & Biography Verified Profile Summary

Dr. Jacksie Short, DMD is a registered healthcare professional specializing in Dentist - General Practice in Joplin, MO. Practice services are available at 2819 E 29TH ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2819 E 29th St

Joplin, MO 64804

Telephone 4177815530

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Joplin, MO

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 9.5 Yrs

Regional Practice Density

35 Specialists

Practicing in Joplin, MO (2113 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License MO 2018013954

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners

Dr. Gary Selby , DDS

Dentist

NPI 1699933457

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events

📍

Updated Practice Location July 05, 2018

Registered at 2819 E 29TH ST, JOPLIN, MO 64804 (Tel: 4177815530)

📍

Updated Business Mailing Address July 05, 2018

Registered at 2819 E 29TH ST, JOPLIN, MO 648049951 (Tel: 4177815530)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 05, 2018

Dentist (License #2018013954 in MO)

✅

NPI Profile Active July 13, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location July 13, 2017

Registered at 924 N BROADWAY ST, PITTSBURG, KS 667623910 (Tel: 6202316788)

📍

Updated Business Mailing Address July 13, 2017

Registered at 3011 N MICHIGAN ST, PITTSBURG, KS 667622546 (Tel: 6202319873)

👤

Provider Name / Credentials Updated July 13, 2017

Recorded as JACKSIE SHORT, DMD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 13, 2017

Dentist (License #61454 in KS)

🟢

Initial NPI Registration & Enumeration July 13, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1790207546

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: July 13, 2017

Last Update: July 05, 2018

Sole Proprietor: No

Update or Correct Profile

Mailing Address

2819 E 29th St

Joplin, MO 648049951

Phone: 4177815530

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.