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

Khohlia Mack, DMD

Individual provider Dentist · NPI 1245856590

Khohlia Mack, DMD is a Dentist in Providence, Rhode Island. Practices as a sole proprietor and works from 2 locations. Licensed in Rhode Island.

Licensed in
RI
In the registry since
2020
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

593 Eddy St
Providence, RI 02903-4923
Phone: (401) 444-4098
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1126 Hartford Ave, Johnston, RI 02919-7109 — (401) 519-1940

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence LD00178 (RI)

Record details

NPI number1245856590
Entity typeIndividual (Type 1)
GenderFemale
Credentials DMD
Sole proprietorYes
NPI enumeratedJune 23, 2020
Last updated in NPPESJuly 22, 2026
Certification dateJuly 22, 2026
Mailing address593 Eddy St, Providence, RI 02903-4923

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