Individual
DR. JACK EDWARD BEUERLEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
650 E 25TH ST, KANSAS CITY, MO 64108-2716
(816) 235-2100
Mailing address
2200 W 47TH PL APT 426, WESTWOOD, KS 66205-1890
(816) 269-0761
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2026022888
MO
Other
Enumeration date
07/16/2026
Last updated
07/16/2026
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