Individual provider · Type 1 NPI

Kristin Lee Black, RDH, OMT

Dental Hygienist · Dayton, OH

NPI number 1033874896 Active

Practice location

9001 N Main St Fl 2
Dayton, OH 45415-1175

Fax (937) 836-7394

Mailing address

5520 Union Shelby Rd
Piqua, OH 45356-9223

Specialties and licenses

TaxonomyCodeLicense
Dental Hygienist Primary 124Q00000X31.007966 (OH)

Dental Hygienist: An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and…

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About NPI 1033874896

Kristin Lee Black, RDH, OMT's National Provider Identifier is 1033874896, issued on Nov 5, 2021. The primary taxonomy on file is Dental Hygienist (124Q00000X), and the practice location is in Dayton, OH. The record was last updated on Nov 5, 2021.