Individual
DR. KENYATTA MACK-GATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
048566
NY
122300000X
Dentist
Primary
DS042997
PA
1223G0001X
General Practice Dentistry
0401411320
VA
1223G0001X
General Practice Dentistry
12933
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001746900
—
MD
05
—
02213830
—
NY
Enumeration date
10/19/2005
Last updated
04/16/2026
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