KINCHELOE DENTAL OFFICE, PC - NPI 1881711174

Q: What is the provider's specialty?

The provider's specialty is Dentist with taxonomy code 1223G0001X and a focus in General Practice.

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About Kincheloe Dental Office, Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KINCHELOE DENTAL OFFICE, PC (NPI 1881711174) is a healthcare organization registered as a general practice in Cheyenne, Wyoming and active in the NPI registry since March 2007. The organization lists Bradley B Kincheloe, Officer, as its authorized official.

NPPES Registry Identity

NPI1881711174

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameKINCHELOE DENTAL OFFICE, PC

Location Address6244 YELLOWSTONE RDCheyenne, WY 82009-3432

Mailing Address2625 Wildhorse TrlCheyenne, WY 82009-2232 · (307) 638-6544

Phone(307) 638-8520

Organization SubpartNo

Authorized OfficialBradley B KincheloeOfficer · (307) 638-8520

Enumeration DateMarch 23, 2007

Last NPPES UpdateAugust 22, 2020

✔ NPI 1881711174 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in WY · 1070

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

6244 YELLOWSTONE RD, Cheyenne, WY 82009

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. EARL B KINCHELOE DDS

Dentist (General Practice)