Individual
JESSICA NIEDEREE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
5517 FOXRIDGE DR, MISSION, KS 66202-1556
(913) 262-3838
(913) 262-3839
Mailing address
5517 FOXRIDGE DR, MISSION, KS 66202-1556
(913) 262-3838
(913) 262-3839
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
61005
KS
1223G0001X
General Practice Dentistry
Primary
2016027871
MO
Other
Enumeration date
06/25/2014
Last updated
05/11/2026
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