Provider Demographics
NPI:1386752061
Name:KENDRICK, FRANK (DMD MS)
Entity type:Individual
Prefix:
First Name:FRANK
Middle Name:
Last Name:KENDRICK
Suffix:
Gender:M
Credentials:DMD MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9625 NORTHCROSS CENTER CT SUITE 101
Mailing Address - Street 2:
Mailing Address - City:HUNTERSVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28078-7353
Mailing Address - Country:US
Mailing Address - Phone:704-997-6431
Mailing Address - Fax:704-997-9434
Practice Address - Street 1:9625 NORTHCROSS CENTER CT SUITE 101
Practice Address - Street 2:
Practice Address - City:HUNTERSVILLE
Practice Address - State:NC
Practice Address - Zip Code:28078-7353
Practice Address - Country:US
Practice Address - Phone:704-997-6431
Practice Address - Fax:704-997-9434
Is Sole Proprietor?:No
Enumeration Date:2006-08-25
Last Update Date:2025-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC72211223G0001X, 1223P0221X
KY64601223P0221X
NC072211223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry
No1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
9026YOtherBLUE CROSS BLUE SHIELD NC
NC5902967Medicaid