Matthew Kincaid DDS Pllc

NPI #1053864439 in Broken Arrow, Oklahoma

Provider Information

NPI Number: 1053864439
Entity Type: Organization
Organization Name: Matthew Kincaid DDS Pllc
Primary Specialty: Dentist
Enumeration Date: Aug 2, 2016
Last Updated: Aug 2, 2016

Practice Location

Address: 1402 S ASPEN AVE
City: Broken Arrow
State: Oklahoma
ZIP Code: 74012-4807
Phone: (918) 258-8515

Authorized Official

Name: DR. MATTHEW KINCAID, DDS
Title: OWNER
Phone: (918) 258-8515

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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