Individual provider · Type 1 NPI

Khohlia Mack, DMD

Dentist · Providence, RI

NPI number 1245856590 Active

Practice location

593 Eddy St
Providence, RI 02903-4923

Call (401) 444-4098 Map

Other practice locations

  • 1126 Hartford Ave, Johnston, RI 02919-7109 · (401) 519-1940

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000XLD00178 (RI)

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1245856590

Khohlia Mack, DMD's National Provider Identifier is 1245856590, issued on Jun 23, 2020. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Providence, RI. The record was last updated on Jul 22, 2026.