Individual
FRANK B BLACKNALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
204 E NORTH AVE, BELTON, MO 64012-2013
(816) 599-5170
Mailing address
PO BOX 19054, LENEXA, KS 66285-9054
(913) 548-3391
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
2020013338
MO
1223G0001X
General Practice Dentistry
Primary
60208
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1005776
DORAL
KS
05
—
200004290A
—
KS
Enumeration date
12/26/2005
Last updated
04/24/2026
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