Provider Demographics
NPI:1467688168
Name:ONNEN, JAMEY DEANE (DDS)
Entity Type:Individual
Prefix:DR
First Name:JAMEY
Middle Name:DEANE
Last Name:ONNEN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:319 NE VIVION RD
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64118-4510
Mailing Address - Country:US
Mailing Address - Phone:816-459-0000
Mailing Address - Fax:816-224-8402
Practice Address - Street 1:319 NE VIVION RD
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64118-4510
Practice Address - Country:US
Practice Address - Phone:816-459-0000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-06-09
Last Update Date:2020-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2009013235122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist