Dr. Kenneth Dewayne Short , DDS
Dentist - General Practice • Boyd, TX
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Kenneth Short has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Kenneth Short, DDS was a registered Dentist - General Practice practicing in Boyd, TX. Throughout an active medical career spanning 13 years, Dr. Short provided care at the practice location at 412 WEST ROCK ISLAND until profile deactivation on 2019-05-13.
Practice Location & Contact Primary Location
412 West Rock Island
Boyd, TX 760233104
Specialty Benchmarks & Practice Insights
Comparative analytics for Dentist - General Practice in Boyd, TX
Practicing in Boyd, TX (10570 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 1223G0001X
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.
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on May 13, 2019
NPI status registered as active in NPPES database
Registered at 412 WEST ROCK ISLAND, BOYD, TX 760233104 (Tel: 9404338545)
Registered at PO BOX 319, BOYD, TX 760230319 (Tel: 9404338545)
Recorded as KENNETH SHORT, D.D.S.
Dentist (License #14693 in TX)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
Po Box 319
Boyd, TX 760230319
Phone: 9404338545
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