Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Matthew Kimball Black, DDS

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1891173282

Dr. Matthew Kimball Black, DDS is a Student in an Organized Health Care Education/Training Program in Kennewick, Washington. Works from 3 locations. Licensed in Washington.

Licensed in
WA
In the registry since
2015
Specialties on file
2
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

See every abbreviation used in this directory →

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Practice location Address checks out

512 N Young St
Kennewick, WA 99336-7839
Phone: (509) 783-7600
Fax: (509) 783-0774
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 476394 Us-95, Ponderay, ID 83852 — (208) 664-0844
  • 1201 N Stonewall Ave, Oklahoma City, OK 73117-1214 — (405) 271-4441

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence 61025296 (WA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1891173282
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedMay 18, 2015
Last updated in NPPESAugust 28, 2020
Certification dateAugust 28, 2020
Mailing address512 N Young St, Kennewick, WA 99336-7839

Other providers in Kennewick