Michael A. Kincaid, D.d.s. | |
1402 S Aspen Ave Broken Arrow OK 74012-4807 | |
(918) 258-8515 | |
(918) 251-5463 |
Full Name | Michael A. Kincaid, D.d.s. |
---|---|
Speciality | Clinic/center - Dental |
Location | 1402 S Aspen Ave, Broken Arrow, Oklahoma |
Authorized Official Name and Position | Michael A Kincaid (OWNER) |
Authorized Official Contact | 9182588515 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Michael A. Kincaid, D.d.s. 1402 S Aspen Ave Broken Arrow OK 74012-4807 Ph: (918) 258-8515 | Michael A. Kincaid, D.d.s. 1402 S Aspen Ave Broken Arrow OK 74012-4807 Ph: (918) 258-8515 |
NPI Number | 1477727394 |
---|---|
Provider Enumeration Date | 04/22/2008 |
Last Update Date | 04/22/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1477727394 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | 4037 (Oklahoma) | Primary |
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