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Organization
JAHN E. ROEDEMEIER, DDS, PA
Active
Organization
JAHN E. ROEDEMEIER, DDS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANNA L BRUBAKER (ADMINISTRATOR)
(816) 522-1230
Entity
Organization
Contact information
Practice address
4601 W 109TH ST, SUITE 320, OVERLAND PARK, KS 66211-1318
(913) 387-4217
(913) 381-0515
Mailing address
4601 W 109TH ST, 320, OVERLAND PARK, KS 66211-1318
(913) 387-4217
(913) 381-0515
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5872
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1063594083
NPI TYPE I
KS
Enumeration date
05/08/2014
Last updated
05/08/2014
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