Jrk Dentistry LLC

NPI #1649674144 in Leavenworth, Kansas

Provider Information

NPI Number: 1649674144
Entity Type: Organization
Organization Name: Jrk Dentistry LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: Oct 14, 2014
Last Updated: Oct 14, 2014

Practice Location

Address: 309 S 2ND ST
City: Leavenworth
State: Kansas
ZIP Code: 66048-2803
Phone: (913) 651-9800

Authorized Official

Name: DR. JENNIFER ANN KIRWAN, DDS
Title: DENTIST
Phone: (913) 651-9800

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Pediatric Dentistry — Pediatric Dentistry	1223P0221X
Dentist - General Practice — General Practice	1223G0001X	Primary

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