Search › Washington › Oral and Maxillofacial Surgery (Dentist)
Matthew Black, DDS
NPI 1891173282 · on the registry since 2015
Practice
- Address
- 512 N Young St
Kennewick, WA 99336 - Phone
- (509) 783-7600
- Fax
- (509) 783-0774
- Organisation at this address
- Jorgensen Prof Corp
Columbia Rheumatology
Proliance Surgeons, Inc., P.S.
Anderson Physical Therapy, Llc
Todd Cooper, Dds, Tyson Teeples, Dmd, Md, Ryan Toponce, Dmd, Ps.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 16
Additional practice sites
- 1201 N Stonewall Ave, Oklahoma City, OK
- 476394 Us-95, Ponderay, ID
Registry record
- Primary taxonomy
- Oral and Maxillofacial Surgery (Dentist)
1223S0112X
- Also registered as
- Student in an Organized Health Care Education/Training Program
- Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-08-28
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington