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Dr. Matthew Kimball Black, DDS
Oral and Maxillofacial Surgery (Dentist) in Kennewick, Washington
NPI 1891173282

Matthew Kimball Black is a Oral and Maxillofacial Surgery (Dentist) based in Kennewick, WA and is specialized in Oral and Maxillofacial Surgery. Matthew Kimball Black practices in Kennewick, WA and has the professional credentials of DDS. The NPI Number for Matthew Kimball Black is 1891173282 and holds a License No. (Washington).

The current practice location address for Matthew Kimball Black is 512 N Young St, Kennewick, WA and can be reached out via phone at 509-783-7600 and via fax at 509-783-0774. You can also correspond with Matthew Kimball Black through the mailing address at 512 N YOUNG ST, KENNEWICK, WA - 99336-7839 (mailing address contact number: 509-783-7600).

Location: 512 N Young St, Kennewick, WA, 99336-7839
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1891173282
Provider Name
Matthew Kimball Black
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
512 N Young St, Kennewick, WA, 99336-7839
Phone Number
509-783-7600
Fax Number
509-783-0774
Provider Enumeration Date
05/18/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
512 N Young St
City
Kennewick
State
Washington
Zip
99336-7839
Phone Number
509-783-7600
Fax Number
509-783-0774
person
Provider Business Mailing Address Details
Address
512 N Young St
City
Kennewick
State
Washington
Zip
99336-7839
Phone Number
509-783-7600
Fax Number
509-783-0774
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
61025296 (Washington)
Definition
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.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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