MEDICARE: DR. JENNIFER AFIA OSEI-FOSU DDS

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	1223G0001X	General Practice Dentistry	2021019653	MO

General Provider Information

NPI Number	:	1306412218
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JENNIFER AFIA OSEI-FOSU DDS

Provider Business Mailing Address
First Line	:	2100 WYANDOTTE ST UNIT 712
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64108-2588
Country	:	US
Telephone Number	:	908-265-1982
Fax Number	:

Provider Business Practice Location Address
First Line	:	3215 MAIN ST
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64111-2645
Country	:	US
Telephone Number	:	816-643-3400
Fax Number	:

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

Provider Enumeration Date	:	06/01/2021
Last Update Date	:	06/01/2021

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