# JESSOP DENTAL LLC

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

## Provider details

- **NPI number:** 1902495088
- **Authorized official:** KELSEY MORGAN (ADMIN)
- **Authorized official phone:** (816) 680-2646

## Contact information

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

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 01/13/2021
- **Last updated:** 01/13/2021