| 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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