# 47TH STREET DENTAL CENTER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Kansas Youth Dental, KC Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396116117
- **Authorized official:** DR. JESSICA KEPLER DDS (OWNER)
- **Authorized official phone:** (770) 916-5036

## Contact information

- **Practice address:** 4301 STATE AVE BLDG A, KANSAS CITY, KS 66102
- **Practice address phone:** (913) 287-7977
- **Practice address fax:** (913) 273-2502
- **Mailing address:** 4301 STATE AVE BLDG A, KANSAS CITY, KS 66102-3719
- **Mailing address phone:** (913) 287-7977
- **Mailing address fax:** (913) 273-2502

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 10/20/2015
- **Last updated:** 04/27/2026