Joshua Lee Kincannon

NPI #1114617982 in Round Mountain, California

Provider Information

NPI Number: 1114617982
Entity Type: Individual
Name: Joshua Lee Kincannon
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Enumeration Date: May 15, 2023
Last Updated: Sep 25, 2024

Practice Location

Address: 29632 E HIGHWAY 299
City: Round Mountain
State: California
ZIP Code: 96084-8000
Phone: (530) 337-5750

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X
Dentist	122300000X	Primary

Additional Practice Locations

12600 Autumn Oaks Ln

Redding, CA, 96003-7762

(530) 356-8969

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