# KINCAID, MCCLARY & KIM D.D.S, P.S.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Kincaid, McClary & Zysset D.D.D. P.S.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043267925
- **Authorized official:** MS. DIANA LYNN PLYMALE (ADMINISTRATION)
- **Authorized official phone:** (360) 651-1359

## Contact information

- **Practice address:** 16410 SMOKEY POINT BLVD, SUITE 103, ARLINGTON, WA 98223-8415
- **Practice address phone:** (360) 658-8822
- **Practice address fax:** (360) 659-1275
- **Mailing address:** 16410 SMOKEY POINT BLVD, ARLINGTON, WA 98223-8415
- **Mailing address phone:** (360) 658-8822
- **Mailing address fax:** (360) 659-1275

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | DE00003702 | WA | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | DE00005524 | WA | — |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | DE0008656 | WA | — |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | GA10000027 | WA | — |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | GA10000031 | WA | — |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | GA10000282 | WA | — |

## Other

- **Enumeration date:** 05/27/2006
- **Last updated:** 08/22/2020