Kincaid Family Dental | |
1402 S Aspen Ave Broken Arrow OK 74012-4807 | |
(918) 258-8515 | |
Not Available |
Full Name | Kincaid Family Dental |
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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 |
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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 |
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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 |
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