Whalio Doctors

NPI 1821576901

Mackenzie Jean Blackwell, RDH

Practitioner Dental Hygienist South Hill, VA

Practice location

Address
604 N. Thomas St, South Hill, VA 23970
Phone
(434) 447-4464
Mailing address
P.O. Box 599 604 N. Thomas St, South Hill, VA 23970

Registered specialties

Dental Hygienist Primary
Dental Providers Taxonomy 124Q00000X Licence 0402207558 (VA)

Registry record

NPI
1821576901
Entity type
Individual
Sex (as registered)
Female
NPI issued
1 Aug 2018
Record last updated
1 Aug 2018

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.