Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Jacksie Short, DMD

Individual provider General Practice Dentistry · NPI 1790207546

Dr. Jacksie Short, DMD is a General Practice Dentistry in Joplin, Missouri. Licensed in Missouri. Registered with an NPI since 2017.

Licensed in
MO
In the registry since
2017
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

See every abbreviation used in this directory →

Practice location Address checks out

2819 E 29th St
Joplin, MO 64804
Phone: (417) 781-5530
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 2018013954 (MO)

Record details

NPI number1790207546
Entity typeIndividual (Type 1)
GenderFemale
Credentials DMD
Sole proprietorNo
NPI enumeratedJuly 13, 2017
Last updated in NPPESJuly 5, 2018
Mailing address2819 E 29th St, Joplin, MO 64804-9951

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