Provider Demographics
NPI:1841204591
Name:SPALITTO, FRANK J (DDS)
Entity Type:Individual
Prefix:DR
First Name:FRANK
Middle Name:J
Last Name:SPALITTO
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2816 E 23RD ST
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64127-4002
Mailing Address - Country:US
Mailing Address - Phone:816-231-3955
Mailing Address - Fax:
Practice Address - Street 1:2816 E 23RD ST
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64127-4002
Practice Address - Country:US
Practice Address - Phone:816-231-3955
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-28
Last Update Date:2008-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO106741223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO430926003OtherT.I.N.
MO504810508Medicaid