Individual provider · Type 1 NPI

Mackenzie Anne Black, RDH

Dental Hygienist · Omak, WA

NPI number 1962317933 Active

Practice location

1003 Koala Dr
Omak, WA 98841-9247

Specialties and licenses

TaxonomyCodeLicense
Dental Hygienist Primary 124Q00000XDH60673333 (WA)

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 1962317933

Mackenzie Anne Black, RDH's National Provider Identifier is 1962317933, issued on Aug 15, 2026. The primary taxonomy on file is Dental Hygienist (124Q00000X), and the practice location is in Omak, WA. The record was last updated on Aug 15, 2026.