IndividualActive
Loren Short, D.M.D.
NPI 1053597245 · Orthodontics and Dentofacial Orthopedics Dentistry · Caldwell, ID
Provider details
- NPI number
- 1053597245
- Entity type
- Individual
- Primary specialty
- Orthodontics and Dentofacial Orthopedics DentistryDental Providers
- Credential
- D.M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- D-4121-OR (ID)
Specialties & taxonomies
Dental Providers
Practice location
4203 Clock Tower Ave.
Caldwell, ID 83607-5006
Phone: (208) 454-4112
Fax: (208) 454-5155
Approximate (ZIP-level) locationGet directions
Mailing address
4203 Clock Tower Ave.
Caldwell, ID 83607-5006
Registry dates
- Enumerated
- 2008-01-17
- Last updated
- 2008-01-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.