Individual
DR. SHANE ALAN JENKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
8291 N BOOTH AVE, KANSAS CITY, MO 64158-7202
(816) 728-2979
Mailing address
8291 N BOOTH AVE, KANSAS CITY, MO 64158-7202
(816) 728-2979
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
2015004756
MO
1223P0221X
Pediatric Dentistry
61352
KS
Other
Enumeration date
10/27/2010
Last updated
07/21/2022
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