Healthcare Provider Details

I. General information

NPI: 1598686347
Provider Name (Legal Business Name): J AND E DENTAL LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/24/2026
Last Update Date: 07/24/2026
Certification Date: 07/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

519 SW 3RD ST STE G
LEES SUMMIT MO
64063-2278
US

IV. Provider business mailing address

4245 W 127TH TER
LEAWOOD KS
66209-3339
US

V. Phone/Fax

Practice location:
  • Phone: 816-524-3434
  • Fax:
Mailing address:
  • Phone: 225-955-2436
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State

VIII. Authorized Official

Name: DR. JEREMY JOHNSTON
Title or Position: OWNER DOCTOR
Credential: DMD
Phone: 225-955-2436