Black, Mackenzie Anne

Black, Mackenzie Anne is an sole proprietor health care provider with primary practice located at 1003 Koala Dr , Omak WA 98841-9247. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Black, Mackenzie Anne can be contacted via phone (800) 660-2129.

Contact Information

Primary practice address
1003 Koala Dr Omak WA 98841-9247
Phone: (800) 660-2129
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X DH60673333 Washington

Profile Details

NPI number 1962317933
LBN Legal business name Black, Mackenzie Anne
Credentials Registered Dental Hygienist (RDH)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 15th, 2026
Last updated Aug 15th, 2026 - about 2 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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