# MATTHEW KINCAID DDS PLLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Kincaid Family Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053864439
- **Authorized official:** DR. MATTHEW KINCAID DDS (OWNER)
- **Authorized official phone:** (918) 258-8515

## Contact information

- **Practice address:** 1402 S ASPEN AVE, BROKEN ARROW, OK 74012-4807
- **Practice address phone:** (918) 258-8515
- **Mailing address:** 1402 S ASPEN AVE, BROKEN ARROW, OK 74012-4807
- **Mailing address phone:** (918) 258-8515

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 6219 | OK | Yes |

## Other

- **Enumeration date:** 08/02/2016
- **Last updated:** 08/02/2016