| Kincaid Family Dental | |
|
1402 S Aspen Ave Broken Arrow OK 74012-4807 | |
| (918) 258-8515 | |
| Not Available |
| Full Name | Kincaid Family Dental |
|---|---|
| Speciality | Dentist |
| Location | 1402 S Aspen Ave, Broken Arrow, Oklahoma |
| Authorized Official Name and Position | Matthew Kincaid (OWNER) |
| Authorized Official Contact | 9182588515 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kincaid Family Dental 1402 S Aspen Ave Broken Arrow OK 74012-4807 Ph: (918) 258-8515 | Kincaid Family Dental 1402 S Aspen Ave Broken Arrow OK 74012-4807 Ph: (918) 258-8515 |
| NPI Number | 1053864439 |
|---|---|
| Provider Enumeration Date | 08/02/2016 |
| Last Update Date | 08/02/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053864439 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 6219 (Oklahoma) | Primary |
News Archive
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› Verified 9 days ago
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