Individual provider · Type 1 NPI
Matthew Kimball Black, DDS
Oral and Maxillofacial Surgery (Dentist) · Kennewick, WA
NPI number
1891173282
Active
Practice location
512 N Young St
Kennewick, WA 99336-7839
Fax (509) 783-0774
Other practice locations
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Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 61025296 (WA) |
Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
9 other providers at this address
- Columbia RheumatologyRheumatology Physician Kennewick, WA NPI 1316160237
- Proliance Surgeons, Inc., P.s.Orthopaedic Surgery Physician Kennewick, WA NPI 1144596446
- Todd Cooper, Dds, Tyson Teeples, Dmd, Md, Ryan Toponce, Dmd, Ps.Oral and Maxillofacial Surgery (Dentist) Kennewick, WA NPI 1487728614
- Brandon William Reddinger, DDSDentist Kennewick, WA NPI 1134485154
- Jonathan G. Crawford, DDSOral & Maxillofacial Surgery (D.M.D.) Kennewick, WA NPI 1720012503
- Ronald J. Marsh, DDSOral & Maxillofacial Surgery (D.M.D.) Kennewick, WA NPI 1134147309
- Ryan Matthew ToponceOral and Maxillofacial Surgery (Dentist) Kennewick, WA NPI 1609191576
- Todd C. Cooper, DDSOral & Maxillofacial Surgery (D.M.D.) Kennewick, WA NPI 1871523183
- Tyson Teeples, DMD, MDOral & Maxillofacial Surgery (D.M.D.) Kennewick, WA NPI 1952505984
Other oral and maxillofacial surgery (dentist) providers in Kennewick
About NPI 1891173282
Matthew Kimball Black, DDS's National Provider Identifier is 1891173282, issued on May 18, 2015. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Kennewick, WA. The record was last updated on Aug 28, 2020.