Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mitchell Blacker

Individual provider General Practice Dentistry · NPI 1497718969

Mitchell Blacker is a General Practice Dentistry in Kansas City, Missouri. Practices as a sole proprietor. Licensed in Missouri.

Licensed in
MO
In the registry since
2006

Practice location Address checks out

11208 Quincy Ave
Kansas City, MO 64137-2504
Phone: (816) 763-8400
Fax: (816) 765-8403
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 13939 (MO)

Record details

NPI number1497718969
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 7, 2006
Last updated in NPPESMay 27, 2015

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