| Jahn E. Roedemeier, Dds, Pa | |
|
4601 W 109th St Suite 320 Overland Park KS 66211-1318 | |
| (913) 387-4217 | |
| (913) 381-0515 |
| Full Name | Jahn E. Roedemeier, Dds, Pa |
|---|---|
| Speciality | Dentist |
| Location | 4601 W 109th St, Overland Park, Kansas |
| Authorized Official Name and Position | Anna L Brubaker (ADMINISTRATOR) |
| Authorized Official Contact | 8165221230 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jahn E. Roedemeier, Dds, Pa 4601 W 109th St 320 Overland Park KS 66211-1318 Ph: (913) 387-4217 | Jahn E. Roedemeier, Dds, Pa 4601 W 109th St Suite 320 Overland Park KS 66211-1318 Ph: (913) 387-4217 |
| NPI Number | 1629488952 |
|---|---|
| Provider Enumeration Date | 05/08/2014 |
| Last Update Date | 05/08/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629488952 | NPI | - | NPPES |
| 1063594083 | Other | KS | NPI TYPE I |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 5872 (Kansas) | Primary |
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