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General NPI Number Information
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NPI Number | 1023812294
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Entity Type | Organization
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Legal Business Name | WALBURN ORTHODONTICS LLC
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Dates
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Enumeration Date | 04/04/2025
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Last Update Date | 06/13/2025
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Provider Practice Location Address
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Address Line | 14710 METCALF AVE
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City | OVERLAND PARK
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State | KS
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Zip | 66223
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Country | US
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Telephone | 913-529-8636
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Fax |
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Provider Business Mailing Address
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Address Line | 1014 W 70TH TER
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City | KANSAS CITY
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State | MO
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Zip | 64113-2047
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Country | US
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Telephone | 816-552-7883
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Fax |
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Authorized Official
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Title or Position | ORTHODONTIST/OWNER
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Name | DR. JENNA WALBURN
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Credential | DMD, MS
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Telephone | 816-552-7883
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number |
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License Number State |
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