Individual provider · Type 1 NPI

Shane Alan Jenks, D.M.D

Pediatric Dentistry · Kansas City, MO

NPI number 1679873434 Active

Practice location

8291 N Booth Ave
Kansas City, MO 64158-7202

Other practice locations

  • 2401 Gillham Rd, Kansas City, MO 64108-4619 · (816) 855-1867
  • 10818 Parallel Pkwy, Kansas City, KS 66109-3649 · (913) 299-8860

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry 1223P0221X61352 (KS)
Pediatric Dentistry Primary 1223P0221X2015004756 (MO)

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

3 other providers at this address

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About NPI 1679873434

Shane Alan Jenks, D.M.D's National Provider Identifier is 1679873434, issued on Oct 27, 2010. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Kansas City, MO. The record was last updated on Jul 21, 2022.