# MICHAEL A. KINCAID, D.D.S.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477727394
- **Authorized official:** DR. MICHAEL A KINCAID D.D.S. (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
- **Practice address fax:** (918) 251-5463
- **Mailing address:** 1402 S ASPEN AVE, BROKEN ARROW, OK 74012-4807
- **Mailing address phone:** (918) 258-8515
- **Mailing address fax:** (918) 251-5463

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 4037 | OK | Yes |

## Other

- **Enumeration date:** 04/22/2008
- **Last updated:** 04/22/2008