Individual
FRANK KENDRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD. MS
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
7221
NC
1223P0221X
Pediatric Dentistry
Primary
07221
NC
1223P0221X
Pediatric Dentistry
6460
KY
1223P0221X
Pediatric Dentistry
7221
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5902967
—
NC
01
—
9026Y
BLUE CROSS BLUE SHIELD NC
—
Enumeration date
08/25/2006
Last updated
02/13/2025
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