# M. CONRAD JOURNEE, DDS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Carriage Family Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245645548
- **Authorized official:** DR. MICHAEL CONRAD JOURNEE DDS (OWNER)
- **Authorized official phone:** (913) 682-2595

## Contact information

- **Practice address:** 726 SHAWNEE ST, LEAVENWORTH, KS 66048-1804
- **Practice address phone:** (913) 682-2595
- **Practice address fax:** (913) 682-2595
- **Mailing address:** 726 SHAWNEE ST, LEAVENWORTH, KS 66048-1804
- **Mailing address phone:** (913) 682-2595
- **Mailing address fax:** (913) 682-2595

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 60997 | KS | — |
| 1223G0001X | General Practice Dentistry | 60842 | KS | Yes |

## Other

- **Enumeration date:** 06/25/2014
- **Last updated:** 06/25/2014