# JENNIFER A. KIRWAN DDS PA DBA THE SMILE CENTRE

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

## Provider details

- **NPI number:** 1538602412
- **Authorized official:** JENNIFER A KIRWAN (OWNER)
- **Authorized official phone:** (913) 651-9800

## Contact information

- **Practice address:** 309 S 2ND ST, LEAVENWORTH, KS 66048-2803
- **Practice address phone:** (913) 651-9800
- **Mailing address:** 309 S 2ND ST, LEAVENWORTH, KS 66048-2803
- **Mailing address phone:** (913) 651-9800

## Taxonomy

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

## Other

- **Enumeration date:** 11/28/2016
- **Last updated:** 11/28/2016