# SHAWNEE DENTAL

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306039987
- **Authorized official:** IRWIN N BOE JR. D.D.S.,M.S. (DENTIST)
- **Authorized official phone:** (913) 962-4400

## Contact information

- **Practice address:** 13430 W 62ND TER, SHAWNEE, KS 66216-1784
- **Practice address phone:** (913) 962-4400
- **Practice address fax:** (913) 962-1144
- **Mailing address:** 13430 W 62ND TER, SHAWNEE, KS 66216-1784
- **Mailing address phone:** (913) 962-4400
- **Mailing address fax:** (913) 962-1144

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 60303 | KS | Yes |

## Other

- **Enumeration date:** 08/27/2007
- **Last updated:** 08/27/2007