Individual
DR. MATTHEW MICHAEL KINCAID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2000 S. HWY 66, SUITE A, CLAREMORE, OK 74019
(918) 342-0202
Mailing address
6517 E. 86TH PLACE, TULSA, OK 74133
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6219
OK
Other
Enumeration date
07/01/2010
Last updated
07/01/2010
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