MEDICARE: W. DAVID SHORT, DMD, PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	4403	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	97787	OTHER	NC	BC/BS

General Provider Information

NPI Number	:	1487699930
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	W. DAVID SHORT, DMD, PA

Provider Business Mailing Address
First Line	:	1619 LIVE OAK ST
Second Line	:
City	:	BEAUFORT
State	:	NC
Zip	:	28516-1520
Country	:	US
Telephone Number	:	252-728-4570
Fax Number	:	252-728-4835

Provider Business Practice Location Address
First Line	:	1619 LIVE OAK ST
Second Line	:
City	:	BEAUFORT
State	:	NC
Zip	:	28516-1520
Country	:	US
Telephone Number	:	252-728-4570
Fax Number	:	252-728-4835

Authorized Official
Title or Position	:	PRES/OWNER
Name	:	DR. W DAVID SHORT
Credential	:	DMD
Telephone Number	:	252-728-4570

Provider Enumeration Date	:	06/18/2006
Last Update Date	:	03/25/2013

Similar Medicare Providers

1811908825 — DR. REINALDO VALLECILLO JR. DDS
Practice Location Address:

1621 LIVE OAK ST
BEAUFORT, NC
28516-1520

Practice Phone: 252-728-2025
Practice Fax: 252-728-3326

1316064918 — ALINA V. PETERS
Practice Location Address:

1621 LIVE OAK ST
BEAUFORT, NC
28516-1520

Practice Phone: 252-728-2025
Practice Fax: 252-728-3326

1790805687 — DR. ALINA VALLECILLO PETERS DDS
Practice Location Address:

1621 LIVE OAK ST
BEAUFORT, NC
28516-1520

Practice Phone: 252-728-2025
Practice Fax:

1194114751 — WILLIAM DAVID SHORT DMD
Practice Location Address:

1619 LIVE OAK ST
BEAUFORT, NC
28516-1520

Practice Phone: 252-728-4570
Practice Fax:

1245811132 — DR. SKYLER LAGCHER O'BRIEN
Practice Location Address:

1619 LIVE OAK ST
BEAUFORT, NC
28516-1520

Practice Phone: 252-254-2738
Practice Fax:

1124751557 — DR. BENJAMIN FARRIOR CHAPPELL DDS
Practice Location Address:

1619 LIVE OAK ST
BEAUFORT, NC
28516-1520

Practice Phone: 252-254-2738
Practice Fax:

Directions to “W. DAVID SHORT, DMD, PA ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.