DR. KEVIN SEAN SHORT DDS
NPI 1306930607
Dentist - General Practice in Cumming, GA

Active since October 03, 2006
1200 BALD RIDGE MARINA RD, SUITE 200, CUMMING, GA 30041(770) 781-8650(770) 781-2953 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Kevin Sean Short Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KEVIN SEAN SHORT DDS (NPI 1306930607) is an individual general practice provider in Cumming, Georgia, licensed in Georgia (DN011242) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1306930607
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. KEVIN SEAN SHORTCredential: DDS
Location Address1200 BALD RIDGE MARINA RD, SUITE 200Cumming, GA 30041-8494
Mailing AddressPo Box 599Cumming, GA 30028-0599 · (770) 781-8650 · Fax (770) 781-2953
Fax(770) 781-2953
Sole ProprietorNo
Enumeration DateOctober 3, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1306930607 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in GA · DN011242
Definition
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.
1200 BALD RIDGE MARINA RD, Cumming, GA 30041

Other Identifiers 2

Other825012GA · United Concordia
Other4080537TN · Bc/bs

Accepted Insurance

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
1200 BALD RIDGE MARINA RD, SUITE 200
CUMMING, GA 30041
Dentist
1200 BALD RIDGE MARINA RD, SUITE 200
CUMMING, GA 30041
Dentist (General Practice)
1200 BALD RIDGE MARINA RD
CUMMING, GA 30041
Dentist (General Practice)
1200 BALD RIDGE MARINA RD, SUITE 200
CUMMING, GA 30041
Dentist
1200 BALD RIDGE MARINA RD, SUITE 200
CUMMING, GA 30041
Clinic/Center (Ambulatory Surgical)
1200 BALD RIDGE MARINA RD, SUITE 160
CUMMING, GA 30041
Dentist (General Practice)
1200 BALD RIDGE MARINA RD, SUITE 200
CUMMING, GA 30041
Dentist
1200 BALD RIDGE MARINA RD, SUITE 200
CUMMING, GA 30041

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kevin Short's NPI number?

The NPI number for Kevin Short is 1306930607. It was assigned to this individual provider in the NPPES registry on October 3, 2006.

Where is Kevin Short located?

Kevin Short practices at 1200 Bald Ridge Marina Rd Suite 200, Cumming, GA 30041. The listed phone number is (770) 781-8650.

What is Kevin Short's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Kevin Short accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 9 other insurers list Kevin Short as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kevin Short was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.