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Active NPI 1245856590 Individual Practitioner Female Practitioner

Dr. Khohlia Mack , DMD

Dentist • Providence, RI

Professional Overview & Biography Verified Profile Summary

Dr. Khohlia Mack, DMD is a registered healthcare professional specializing in Dentist in Providence, RI. Practice services are available at 593 EDDY ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

593 Eddy St

Providence, RI 029034923

Telephone 4014444098
Associated Practice Facility / Clinic
🏢 Rhode Island Hospital Facility NPI 1588659528

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Providence, RI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 2.0 Yrs
State Avg: 8.3 Yrs
Regional Practice Density
66 Specialists

Practicing in Providence, RI (280 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-07-22
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License RI LD00178

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Secondary Practice Locations

1126 Hartford Ave

Johnston, RI 029197109

Phone: 4015191940

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
NPI 1003012014

Doctor of Osteopathic Medicine (D.O.)

NPI 1003034877
Dr. Ga Hie Nam , MD

Pathology - Anatomic Pathology & Clinical Pathology

NPI 1003264896

Doctor of Medicine (M.D.)

Eugenie Atallah

Psychiatry & Neurology - Neurology

NPI 1003392689
Dr. Brian Cao , MD

Student in an Organized Health Care Education/Training Program

NPI 1003496274

Doctor of Medicine (M.D.)

Bret Caulfield

Physician Assistant

NPI 1003512476

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active June 23, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location June 23, 2020

Registered at 593 EDDY ST, PROVIDENCE, RI 029034923 (Tel: 4014444098)

📍
Updated Business Mailing Address June 23, 2020

Registered at 593 EDDY ST, PROVIDENCE, RI 029034923 (Tel: 4014444098)

👤
Provider Name / Credentials Updated June 23, 2020

Recorded as KHOHLIA MACK, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 23, 2020

Dentist (License #LD00178 in RI)

🟢
Initial NPI Registration & Enumeration June 23, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1245856590
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 23, 2020
Last Update: July 22, 2026
Sole Proprietor: Yes

Mailing Address

593 Eddy St

Providence, RI 029034923

Phone: 4014444098

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.