DR. BRIAN CHRISTOPHER SHORT


Address: Ut College of Medicine, 920 Madison Avenue Suite C50, Memphis, TN 38163
Phone: 9014485364

DR. BRIAN CHRISTOPHER SHORT (NPI# 1134341696) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1134341696
Entity Type Individual
Full Name DR. BRIAN CHRISTOPHER SHORT
Credential DDS
Practice Address Ut College of Medicine, 920 Madison Avenue Suite C50
Memphis
TN 38163
Mailing Address 1136 Misty Isle Drive
Memphis
TN 38103
Practice Telephone 9014485364
Mailing Telephone 9015280247
Enumeration Date 2007-05-03
Last Update Date 2008-08-04
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223P0221X Dentist
Specialization: Pediatric Dentistry
DS8390 TN Dental Providers

Other Provider Identifier

State Issuer Identifier Type Code
TN 1504163 05

Other Providers BRIAN SHORT

NPI Name Taxonomy Address Enumeration
1770648305 Brian T. Short Chiropractor 1444 S Saint Francis Dr, Suite C, Santa Fe, NM 87505-4229 2006-12-26
1336116383 Brian Short Podiatrist 6200 Pleasant Ave, Suite 3, Fairfield, OH 45014-4670 2006-03-08
1073588844 Brian J Short Nurse Practitioner 4620 Middleboro Lane, Richmond, IN 47374 2006-02-23

Office Location

Street Address UT COLLEGE OF MEDICINE, 920 MADISON AVENUE SUITE C50
City MEMPHIS
State TN
Zip Code 38163

Providers in the same location

NPI Name Taxonomy Address Enumeration
1972723336 University of Tennessee, Memphis Student in an Organized Health Care Education/Training Program Ut College of Medicine, 920 Madison Avenue Suite C50, Memphis, TN 38163 2007-04-26

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1801367537 Stacie Nicole Yocom Pediatrics 853 Jefferson Ave Route E206, Memphis, TN 38163 2018-12-06
1639651052 Angela Renae Haynes Dental Hygienist 875 Union Ave Dunn Dental Bldg C 517, Memphis, TN 38163 2018-09-01
1700362613 Ibrahim Ortanca Student in an Organized Health Care Education/Training Program University of Tennessee 920 Madison Avenue, Suite 447 - Office of Graduate Medical Education, Memphis, TN 38163 2018-07-13
1619469103 Julia Christine Cook Student in an Organized Health Care Education/Training Program University of Tennesee, 920 Madison Ave, Suite 447, Memphis, TN 38163 2018-05-31
1104359058 Malik Fakhar Student in an Organized Health Care Education/Training Program 960 Madison Ave, 447, Memphis, TN 38163 2017-04-07
1215319322 Yousef Abdel-aziz Student in an Organized Health Care Education/Training Program 956 Court Avenue Suite G310b, Memphis, TN 38163 2015-06-25
1770963746 Ayman Al Dayeh Dentist 875 Union Ave, S312, Department of Orthodontics, Memphis, TN 38163 2015-06-04
1952789430 Mark Iltis Student in an Organized Health Care Education/Training Program 910 Madison Ave, University of Tennessee, 1031, Memphis, TN 38163 2015-05-15
1700129780 Mohammad Elballat Student in an Organized Health Care Education/Training Program 956 Court Ave Suite H314a, Memphis, TN 38163 2013-03-28
1932468204 Evan Neal Paul Student in an Organized Health Care Education/Training Program 910 Madison Avenue, Suite 1031, Memphis, TN 38163 2012-05-08
Find all providers in zip 38163

Taxonomy Information

Taxonomy Code 1223P0221X
Grouping Dental Providers
Classification Dentist
Specialization Pediatric Dentistry

Taxonomy Definition

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1356775134 Michael D. Blen Dds PC Dentist 6363 Poplar Ave Ste 110, Memphis, TN 38119-4802 2013-08-28
1770880064 Miller Dental Health Dentist 5124 Stage Rd Ste C-2, Memphis, TN 38134-3164 2011-02-22
1710191812 Ashley Suzanne Ramsey Dentist Ut College of Medicine 920 Madison Ave, Suite C50, Memphis, TN 38163-0001 2007-05-09
1538382502 Courtney Lillianne Wilson Dentist 3285 Hacks Cross Rd, Ste 101, Memphis, TN 38125-8918 2007-04-10
1023147790 Bradley W Wilkinson Dentist 5040 Sanderlin Avenue, Suite 101, Memphis, TN 38117 2007-03-05
1790858272 Harry K. Sharp Dentist 875 Union Ave Rm S219, Memphis, TN 38163-0001 2006-11-15
1922197250 Daniel Derrick Freeman Dentist 2567 Appling Rd, Memphis, TN 38133-5099 2006-10-12
1962597971 Gregory Todd Wilkinson Dentist 5610 Murray Rd, Memphis, TN 38119 2006-10-04
1174511604 Michael D. Blen Dentist 6363 Poplar Ave, Suite 110, Memphis, TN 38119-4831 2005-10-10
1760482046 Sheldon Maurice Graves Dentist 4137 Kirby Pkwy, Suite 4, Memphis, TN 38115-6532 2005-07-28
Find all providers in MEMPHIS

Competitor

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City MEMPHIS
Zip Code 38163

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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