Kristin Lee Black
Dental Hygienist
9001 N Main St Fl 2
Dayton
, Ohio 45415-1175
Kristin Lee Black
Dental Hygienist
9001 N Main St Fl 2
Dayton
, Ohio 45415-1175
(937) 546-8594
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About
Features
Specialties
- Dental Hygienist
Languages spoken
- English
Location
First Address
- Kristin Lee Black
- 5520 Union Shelby Rd
- Piqua, OH
- Zip : 45356-9223
- Phone : (937) 546-8594
Second Address
- Kristin Lee Black
- 9001 N Main St Fl 2
- Dayton, OH
- Zip : 45415-1175
- Fax : (937) 836-7394
- Phone : (937) 836-7282
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | 31.007966 | OH |
National Provider Identifier
| NPI | 1033874896 |
|---|---|
| Provider Name | Kristin Lee Black |
| First Address | Piqua, OH 45356-9223 |
| Second Address | Dayton, OH 45415-1175 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/11/2021 |
| Last Update Date | 05/11/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.