OrganizationKjw Dental, LlcDentistDental ProvidersPractice Address22450 S Harrison St Ste 102, Spring Hill, KS 66083-8882(402) 380-0461(479) 263-3444PECOS EnrollmentBased on the most recent information from CMS, provider Kjw Dental, Llc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records today at 4:18 PM.Profile DetailsProvider ID1326878729Provider TypeOrganizationFull NameKjw Dental, LlcSubpartNoEnumeration Date8/1/2024Last Updated8/1/2024Contact InformationPractice LocationPractice Address22450 S Harrison St Ste 102, Spring Hill, KS 66083-8882Phone(402) 380-0461FaxUnlisted FaxMailing LocationMailing Address17208 Parkhill St, Overland Park, KS 66221-2560Phone(479) 263-3444FaxUnlisted FaxAuthorized OfficialNameWalker, Katie J (Dentist)Phone(402) 380-0461Provider TaxonomiesCodeDescriptionLicenseCode1223G0001XPrimaryDescriptionDentistDental ProvidersLicenseUnlisted Issuer