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Search › Missouri › General Practice Dentistry

Mitchell Blacker

NPI 1497718969 · on the registry since 2006 · sole proprietor

Practice

Address
11208 Quincy Ave
Kansas City, MO 64137
Phone
(816) 763-8400
Fax
(816) 765-8403
Organisation at this address
Blacker Family Dental Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
General Practice Dentistry
1223G0001X
Licence states on file
MO
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2015-05-27

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri