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General NPI Number Information
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NPI Number | 1598686347
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Entity Type | Organization
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Legal Business Name | J AND E DENTAL LLC
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Dates
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Enumeration Date | 07/24/2026
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Last Update Date | 07/24/2026
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Provider Practice Location Address
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Address Line | 519 SW 3RD ST STE G
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City | LEES SUMMIT
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State | MO
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Zip | 64063-2278
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Country | US
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Telephone | 816-524-3434
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Fax |
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Provider Business Mailing Address
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Address Line | 4245 W 127TH TER
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City | LEAWOOD
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State | KS
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Zip | 66209-3339
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Country | US
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Telephone | 225-955-2436
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Fax |
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Authorized Official
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Title or Position | OWNER DOCTOR
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Name | DR. JEREMY JOHNSTON
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Credential | DMD
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Telephone | 225-955-2436
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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