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DR. JACKSIE SHORT DMD
NPI 1790207546
Dentist - General Practice in Joplin, MO

Active since July 13, 2017
2819 E 29TH ST, JOPLIN, MO 64804(417) 781-5530 Get Directions Write a Review

NPPES record last updated: July 5, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 5, 2018, Jul 13, 2017 (2 updates tracked since 2017).

About Dr. Jacksie Short Dmd NPPES

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

DR. JACKSIE SHORT DMD (NPI 1790207546) is an individual general practice provider in Joplin, Missouri, licensed in Missouri (2018013954) and active in the NPI registry since July 2017.

NPPES Registry Identity

NPI1790207546
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. JACKSIE SHORTCredential: DMD
Location Address2819 E 29TH STJoplin, MO 64804
Mailing Address2819 E 29th StJoplin, MO 64804-9951 · (417) 781-5530
Phone(417) 781-5530
Sole ProprietorNo
Enumeration DateJuly 13, 2017
Last NPPES UpdateJuly 5, 20182 updates tracked since enumeration
✔ NPI 1790207546 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in MO · 2018013954
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.
2819 E 29TH ST, Joplin, MO 64804
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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 Jacksie Short's NPI number?

The NPI number for Jacksie Short is 1790207546. It was assigned to this individual provider in the NPPES registry on July 13, 2017.

Where is Jacksie Short located?

Jacksie Short practices at 2819 E 29th St, Joplin, MO 64804. The listed phone number is (417) 781-5530.

What is Jacksie Short'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 Jacksie Short was last updated on July 5, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.