Black, Matthew Kimball

Black, Matthew Kimball is an individual health care provider with primary practice located at 512 N Young St , Kennewick WA 99336-7839. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Dental Providers / Oral and Maxillofacial Surgery. Dental Providers / Oral and Maxillofacial Surgery is his primary health care specialty. Black, Matthew Kimball can be contacted via phone (509) 783-7600.

Contact Information

Primary practice address
512 N Young St Kennewick WA 99336-7839
Phone: (509) 783-7600
Fax: (509) 783-0774
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 61025296 Washington

Profile Details

NPI number 1891173282
LBN Legal business name Black, Matthew Kimball
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2015
Last updated Aug 28th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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