Jenks, Shane Alan

Jenks, Shane Alan is an individual health care provider with primary practice located at 8291 N Booth Ave , Kansas City MO 64158-7202. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Jenks, Shane Alan can be contacted via phone (816) 728-2979.

Contact Information

Primary practice address
8291 N Booth Ave Kansas City MO 64158-7202
Phone: (816) 728-2979
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 61352 Kansas
Dental Providers / Pediatric Dentistry 1223P0221X 2015004756 Missouri

Profile Details

NPI number 1679873434
LBN Legal business name Jenks, Shane Alan
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 27th, 2010
Last updated Jul 21st, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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