Individual
DR. OWEN SHANNON LONERGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MPH, DMD, MD
Contact information
Practice address
638 W 39TH ST, KANSAS CITY, MO 64111-2910
(816) 919-8895
Mailing address
3210 NE 102ND TER, KANSAS CITY, MO 64155-7819
(858) 354-4967
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2011008413
MO
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
2011008413
MO
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
390200000X
TX
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
62200
KS
Other
Enumeration date
06/12/2010
Last updated
05/04/2026
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