| Frank B Blacknall, DDS | |
|
204 E North Ave, Belton, MO 64012-2013 | |
| (816) 599-5170 | |
| Not Available |
| Full Name | Frank B Blacknall |
|---|---|
| Gender | Male |
| Speciality | Dentist - General Practice |
| Location | 204 E North Ave, Belton, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982681540 | NPI | - | NPPES |
| 200004290A | Medicaid | KS | |
| 1005776 | Other | KS | DORAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 60208 (Kansas) | Primary |
| 122300000X | Dentist | 2020013338 (Missouri) | Secondary |
| Entity Name | Swope Health Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689760076 PECOS PAC ID: 5294644530 Enrollment ID: O20040416000940 |
| Mailing Address | Practice Location Address |
|---|---|
| Frank B Blacknall, DDS Po Box 19054, Lenexa, KS 66285-9054 Ph: (913) 548-3391 | Frank B Blacknall, DDS 204 E North Ave, Belton, MO 64012-2013 Ph: (816) 599-5170 |
Gary W Stewart, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 8011 E 171st, Belton, MO 64012 Phone: 816-331-4800 Fax: 816-331-5309 | |
Dr. Angela Maria Marulanda, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 424 E North Ave, Belton, MO 64012 Phone: 816-281-8323 | |
Luxi Swisher, Dentist Medicare: Not Enrolled in Medicare Practice Location: 109 Apple Valley Pkwy, Belton, MO 64012 Phone: 816-892-5173 | |
Carly Stewart, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 630 E Markey Pkwy, Belton, MO 64012 Phone: 816-331-1900 | |
Brian H Jenkins, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 17049 Bel Ray Blvd, Belton, MO 64012 Phone: 816-322-6551 Fax: 816-322-5819 | |
Anna Lee, DDS Dentist Medicare: Medicare Enrolled Practice Location: 1731 E North Ave, Belton, MO 64012 Phone: 816-322-3506 | |
Zachary Michael Ortinau, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1731 E North Ave, Belton, MO 64012 Phone: 816-322-3506 |