Blacknall, Frank B

Blacknall, Frank B is an individual health care provider with primary practice located at 15074 S Blackbob Rd , Olathe KS 66062-2663. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice. Dental Providers / General Practice is his primary health care specialty. Blacknall, Frank B can be contacted via phone (913) 764-5703.

Contact Information

Primary practice address
15074 S Blackbob Rd Olathe KS 66062-2663
Phone: (913) 764-5703
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 2020013338 Missouri
Dental Providers / General Practice 1223G0001X 7539 Tennessee
Dental Providers / General Practice 1223G0001X 12010575A Indiana
Dental Providers / General Practice 1223G0001X 60208 Kansas

Profile Details

NPI number 1982681540
LBN Legal business name Blacknall, Frank B
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 26th, 2005
Last updated Mar 20th, 2024 - about 9 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982681540 NPPES
Kansas MEDICAID 200004290A
Kansas Other 1005776

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