Individual
ABBY JEWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
2070 NW LOWENSTEIN DR STE C, LEES SUMMIT, MO 64081-1903
(816) 287-1010
Mailing address
925 NW BENT TREE DR, LEES SUMMIT, MO 64081-1836
(816) 560-8351
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
----
MN
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
D14084
MN
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
2023005835
MO
Other
Enumeration date
02/20/2018
Last updated
01/26/2024
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