Organization
KANSAS DENTAL ELEMENTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACOB MEGGISON DDS (PARTNER)
(785) 554-8910
Entity
Organization
Contact information
Practice address
11912 SHAWNEE MISSION PKWY, SHAWNEE, KS 66216-1865
(913) 383-0440
Mailing address
7400 W 130TH ST, SUITE 320, OVERLAND PARK, KS 66213-2715
(785) 554-8910
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
60737
KS
Other
Enumeration date
07/11/2016
Last updated
07/11/2016
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