FRED SHORTER D.D.S.
NPI 1669477154
Dentist - General Practice in Detroit, MI

Q: What is Fred Shorter's NPI number?

The NPI number for Fred Shorter is 1669477154. It was assigned to this individual provider in the NPPES registry on June 20, 2005. The provider is also known as Dr. Fred Shorter D.D.S..

Q: What is Fred Shorter's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Fred Shorter 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.

Active since June 20, 2005

20100 W MCNICHOLS RD, DETROIT, MI 48219(313) 255-2150(313) 255-6152 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Fred Shorter D.d.s. NPPES

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

FRED SHORTER D.D.S. (NPI 1669477154) is an individual general practice provider in Detroit, Michigan, licensed in Michigan (2901010185) and active in the NPI registry since June 2005.

NPPES Registry Identity

NPI1669477154

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameFRED SHORTERCredential: D.D.S.

Location Address20100 W MCNICHOLS RDDetroit, MI 48219-3374

Mailing Address20100 W Mcnichols RdDetroit, MI 48219-3374 · (313) 255-2150 · Fax (313) 255-6152

Phone(313) 255-2150

Fax(313) 255-6152

Sole ProprietorNo

Enumeration DateJune 20, 2005

Last NPPES UpdateJuly 8, 2007

✔ NPI 1669477154 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in MI · 2901010185

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.

20100 W MCNICHOLS RD, Detroit, MI 48219

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Other Names 1

Professional Name (2)Dr. Fred Shorter D.d.s.

Other Identifiers 1

Medicaid4199929MI

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 Fred Shorter's NPI number?

The NPI number for Fred Shorter is 1669477154. It was assigned to this individual provider in the NPPES registry on June 20, 2005. The provider is also known as Dr. Fred Shorter D.D.S..

Where is Fred Shorter located?

Fred Shorter practices at 20100 W Mcnichols Rd, Detroit, MI 48219. The listed phone number is (313) 255-2150.

What is Fred Shorter's specialty?

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

When was this NPI record last updated?

The NPPES record for Fred Shorter 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.