Search › Missouri › Pediatric Dentistry
Shane Jenks, D.M.D
NPI 1679873434 · on the registry since 2010
Practice
- Address
- 8291 N Booth Ave
Kansas City, MO 64158 - Phone
- (816) 728-2979
- Organisation at this address
- Bryan Watanabe Dds Liberty Dental Group Pc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 4
Additional practice sites
- 2401 Gillham Rd, Kansas City, MO
- 10818 Parallel Pkwy, Kansas City, KS
Registry record
- Primary taxonomy
- Pediatric Dentistry
1223P0221X
- Also registered as
- Pediatric Dentistry
- Licence states on file
- KS, MO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-07-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri