MEDICARE: FRANK B BLACKNALL 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
1	1223G0001X	General Practice Dentistry	60208	KS
2	122300000X	Dentist	2020013338	MO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	1005776	OTHER	KS	DORAL

General Provider Information

NPI Number	:	1982681540
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FRANK B BLACKNALL DDS

Provider Business Mailing Address
First Line	:	PO BOX 19054
Second Line	:
City	:	LENEXA
State	:	KS
Zip	:	66285-9054
Country	:	US
Telephone Number	:	913-548-3391
Fax Number	:

Provider Business Practice Location Address
First Line	:	204 E NORTH AVE
Second Line	:
City	:	BELTON
State	:	MO
Zip	:	64012-2013
Country	:	US
Telephone Number	:	816-599-5170
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/26/2005
Last Update Date	:	12/12/2025

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Directions to “ FRANK B BLACKNALL DDS” Practice Location

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