Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Shane Alan Jenks, DMD

Individual provider Pediatric Dentistry · NPI 1679873434

Dr. Shane Alan Jenks, DMD is a Pediatric Dentistry in Kansas City, Missouri. Works from 3 locations. Licensed in Kansas and Missouri.

Licensed in
KS, MO
In the registry since
2010
Specialties on file
2
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

8291 N Booth Ave
Kansas City, MO 64158-7202
Phone: (816) 728-2979
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 10818 Parallel Pkwy, Kansas City, KS 66109-3649 — (913) 299-8860
  • 2401 Gillham Rd, Kansas City, MO 64108-4619 — (816) 855-1867

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence 2015004756 (MO)
Pediatric Dentistry Taxonomy 1223P0221X · Licence 61352 (KS)

Record details

NPI number1679873434
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedOctober 27, 2010
Last updated in NPPESJuly 21, 2022

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