NPI 1033874896

Kristin Lee Black, RDHOMT

Practitioner Dental Hygienist Dayton, OH

Practice location

Address: 9001 N Main St Fl 2, Dayton, OH 45415-1175
Phone: (937) 836-7282
Fax: (937) 836-7394
Mailing address: 5520 Union Shelby Rd, Piqua, OH 45356-9223

Registered specialties

Dental Hygienist Primary

Dental Providers Taxonomy 124Q00000X Licence 31.007966 (OH)

Other Dental Hygienist providers in Ohio →

Registry record

NPI: 1033874896
Entity type: Individual
Sex (as registered): Female
NPI issued: 5 Nov 2021
Record last updated: 5 Nov 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.