Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MATTHEW KIMBALL BLACK, DDS
ActiveDR. MATTHEW KIMBALL BLACK, DDS is a Oral & Maxillofacial Surgery healthcare provider located in KENNEWICK, Washington. NPI 1891173282 is currently active in the NPPES registry. Verify at CMS.
Oral & Maxillofacial Surgery · KENNEWICK, WA
Registration Details
- NPI Number
- 1891173282
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 18, 2015 (11.26730189865 yrs)
- Last Updated
- Aug 28, 2020
- License
-
61025296 (WA)
Practice Information
- Address
-
512 N YOUNG STKENNEWICK, WA, 993367839Browse WA providers · Browse ZIP 99336
- Phone
- 5097837600
- Fax
- 5097830774
- Primary Specialty
-
Oral & Maxillofacial Surgery
1223S0112X
- Additional Specialty
- Oral & Maxillofacial Surgery
Other Oral & Maxillofacial Surgery Providers in KENNEWICK, WA
| Name | Credential | NPI |
|---|---|---|
| RYAN MATTHEW TOPONCE | — | 1609191576 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.