Organization
JENKINS PEDIATRIC DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JILL C JENKINS DDS (PRESIDENT)
(913) 486-6324
Entity
Organization
Contact information
Practice address
6810 SILVERHEEL ST, SHAWNEE, KS 66226-5300
(913) 745-2500
Mailing address
9420 MANOR RD, LEAWOOD, KS 66206-1833
(913) 486-6324
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
08/11/2020
Last updated
08/11/2020
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