IndividualActive
Matthew Black, DDS
NPI 1891173282 · Oral and Maxillofacial Surgery (Dentist) · Kennewick, WA
Provider details
- NPI number
- 1891173282
- Entity type
- Individual
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Dental Providers
Student, Health Care
Practice location
512 N Young St
Kennewick, WA 99336-7839
Phone: (509) 783-7600
Fax: (509) 783-0774
Approximate (ZIP-level) locationGet directions
Mailing address
512 N Young St
Kennewick, WA 99336-7839
Additional practice locations (2)
- 476394 US-95Suite 201Ponderay, ID 83852Phone: (208) 664-0844Fax: (208) 664-9682
- 1201 N Stonewall AveSuite #206Oklahoma City, OK 73117-1214Phone: (405) 271-4441
Registry dates
- Enumerated
- 2015-05-18
- Last updated
- 2020-08-28
- Certified
- 2020-08-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.