Provider Demographics
NPI:1053587931
Name:STINNETT, JAIME CHRISTINE (DDS)
Entity type:Individual
Prefix:DR
First Name:JAIME
Middle Name:CHRISTINE
Last Name:STINNETT
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:JAIME
Other - Middle Name:CHRISTINE
Other - Last Name:JAAX
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:6500 W 95TH ST
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66212-1435
Mailing Address - Country:US
Mailing Address - Phone:913-649-0166
Mailing Address - Fax:913-649-4274
Practice Address - Street 1:6500 W 95TH ST
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66212-1435
Practice Address - Country:US
Practice Address - Phone:913-649-0166
Practice Address - Fax:913-649-4274
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-01
Last Update Date:2008-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2006017468122300000X
KS60569122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist