Individual
DR. JEREMY T KNEWTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
8630 MAURER RD, LENEXA, KS 66219-1104
(913) 227-0466
(913) 227-0437
Mailing address
8630 MAURER RD, LENEXA, KS 66219-1104
(913) 227-0466
(913) 227-0437
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
60280
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200267950A
—
KS
Enumeration date
01/13/2006
Last updated
11/04/2024
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