Kincaid, Louis C

Kincaid, Louis C is an individual health care provider with primary practice located at 16410 Smokey Point Blvd Suite 103, Arlington WA 98223-8415. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Kincaid, Louis C can be contacted via phone (360) 651-1353.

Contact Information

Primary practice address
16410 Smokey Point Blvd Suite 103 Arlington WA 98223-8415
Fax: (360) 659-1275
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X DE00003702 Washington
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X GA10000027 Washington

Profile Details

NPI number 1689717217
LBN Legal business name Kincaid, Louis C
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 14th, 2007
Last updated Jul 9th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689717217 NPPES
Washington MEDICAID 5005079

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