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NPI Code Detail

MEDICARE: DR. FRANKIE JOE BANHART DDS

MEDICARE:  DR. FRANKIE JOE BANHART  DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentist2017017905MO

General Provider Information

NPI Number : 1689104382
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. FRANKIE JOE BANHART DDS
Provider Business Mailing Address
First Line : 5535 HARRISON ST
Second Line :
City : KANSAS CITY
State : MO
Zip : 64110-2703
Country : US
Telephone Number : 816-898-7515
Fax Number :
Provider Business Practice Location Address
First Line : 5536 NE ANTIOCH RD
Second Line :
City : KANSAS CITY
State : MO
Zip : 64119-2301
Country : US
Telephone Number : 816-413-9009
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/14/2017
Last Update Date : 06/14/2017

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Directions to “ DR. FRANKIE JOE BANHART DDS” Practice Location

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