MEDICARE: DR. OWEN SHANNON LONERGAN MPH, DMD, MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223S0112X	Oral and Maxillofacial Surgery (Dentist)	62200	KS
2	1223S0112X	Oral and Maxillofacial Surgery (Dentist)	390200000X	TX
3	122300000X	Dentist	2011008413	MO

General Provider Information

NPI Number	:	1124349212
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. OWEN SHANNON LONERGAN MPH, DMD, MD

Provider Business Mailing Address
First Line	:	3210 NE 102ND TER
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64155-7819
Country	:	US
Telephone Number	:	858-354-4967
Fax Number	:

Provider Business Practice Location Address
First Line	:	638 W 39TH ST
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64111-2910
Country	:	US
Telephone Number	:	816-919-8895
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/12/2010
Last Update Date	:	12/04/2025

Similar Medicare Providers

1558349878 — DR. ROBERT E PRUE LCSW
Practice Location Address:

600 W 39TH ST
KANSAS CITY, MO
64111-2910

Practice Phone: 816-421-7608
Practice Fax: 816-421-6493

1427562123 — JUSTIN NICHOLS RN
Practice Location Address:

600 W 39TH ST
KANSAS CITY, MO
64111-2910

Practice Phone: 816-421-7608
Practice Fax: 816-421-6493

1356816631 — PATRICK P PRUITT LCSW
Practice Location Address:

600 W 39TH ST
KANSAS CITY, MO
64111-2910

Practice Phone: 816-421-7608
Practice Fax: 816-421-6493

1750857827 — HEART OF AMERICA INDIAN CENTER
Practice Location Address:

600 W 39TH ST
KANSAS CITY, MO
64111-2910

Practice Phone: 816-421-7608
Practice Fax: 816-421-6493

1245913235 — DENTAL SPECIALISTS KANSAS CITY
Practice Location Address:

638 W 39TH ST
KANSAS CITY, MO
64111-2910

Practice Phone: 816-388-0985
Practice Fax:

1649953613 — COSMETIC AND IMPLANT DENTISTRY OF WESTPORT
Practice Location Address:

638 W 39TH ST
KANSAS CITY, MO
64111-2910

Practice Phone: 816-388-0985
Practice Fax:

Directions to “ DR. OWEN SHANNON LONERGAN MPH, DMD, MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.