KINCAID, MCCLARY & KIM D.D.S, P.S. (NPI# 1043267925) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043267925 |
| Entity Type | Organization |
| Organization Name | KINCAID, MCCLARY & KIM D.D.S, P.S. |
| Other Organization Name | KINCAID, MCCLARY & ZYSSET D.D.D. P.S. |
| Practice Address |
16410 Smokey Point Blvd Suite 103 Arlington WA 98223-8415 |
| Mailing Address |
16410 Smokey Point Blvd Arlington WA 98223-8415 |
| Practice Telephone | 3606588822 |
| Practice Fax Number | 3606591275 |
| Mailing Telephone | 3606588822 |
| Mailing Fax Number | 3606591275 |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. DIANA LYNN PLYMALE (ADMINISTRATION) |
| Authorized Official Telephone | 3606511359 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
GA10000027 | WA | Dental Providers |
| N | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
DE00005524 | WA | Dental Providers |
| N | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
GA10000031 | WA | Dental Providers |
| N | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
DE0008656 | WA | Dental Providers |
| N | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
GA10000282 | WA | Dental Providers |
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
DE00003702 | WA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 5337704 | 05 |
| Other Name | Type Code |
|---|---|
| Kincaid, McClary & Zysset D.D.D. P.S. | Former Legal Business Name - Organization |
| Street Address |
16410 SMOKEY POINT BLVD SUITE 103 |
| City | ARLINGTON |
| State | WA |
| Zip Code | 98223-8415 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225037633 | Terry Lynn Benham | Physical Therapist | 16410 Smokey Point Blvd, Suite 309, Arlington, WA 98223-8415 | 2005-07-18 |
| 1326461468 | David A Dunnington Md | Family Medicine | 16410 Smokey Point Blvd, Suite 101, Arlington, WA 98223-8415 | 2014-01-24 |
| 1073954822 | Alan D. Erickson, D.d.s., P.s. | Dentist | 16410 Smokey Point Blvd, Suite 107, Arlington, WA 98223-8415 | 2013-07-09 |
| 1205162278 | Laureen Sherson | Massage Therapist | 16410 Smokey Point Blvd, Suite #303, Arlington, WA 98223 | 2009-10-27 |
| 1568636140 | Afvc, Pllc | Optometrist | 16410 Smokey Point Blvd, #101, Arlington, WA 98223-8415 | 2008-04-15 |
| 1376725499 | Daniel Thomas Brady | Dentist | 16410 Smokey Point Blvd, Suite 103, Arlington, WA 98223-8415 | 2007-11-30 |
| 1093858318 | Peter H Kim | Dentist | 16410 Smokey Point Blvd, Suite 103, Arlington, WA 98223-8415 | 2007-02-15 |
| 1689717217 | Louis C Kincaid | Dentist | 16410 Smokey Point Blvd, Suite 103, Arlington, WA 98223-8415 | 2007-02-14 |
| 1578606083 | Samuel A Mcclary | Dentist | 16410 Smokey Point Blvd, Suite 103, Arlington, WA 98223-8415 | 2007-02-14 |
| 1114070299 | Judy Smith Kandel | Optometrist | 16410 Smokey Point Blvd, #101, Arlington, WA 98223-8415 | 2007-01-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225667462 | Clark Nursing LLC | Registered Nurse | 30818 412th Dr. N.e., Arlington, WA 98223 | 2020-04-08 |
| 1952952442 | Tina Willett | Technician | 18404 19th Avenue Ne, Arlington, WA 98223 | 2019-09-25 |
| 1841841764 | Carolyn Marie Lantz | Technician | 6002 Cemetery Road, Arlington, WA 98223 | 2019-09-23 |
| 1801457643 | Maddison Post | Massage Therapist | 18725 Smokey Point Boulevard, Arlington, WA 98223 | 2019-06-24 |
| 1790341113 | Brandon Tyler Stott | Specialist/Technologist | 17023 11th Ave Ne, Arlington, WA 98223 | 2019-05-10 |
| 1881177715 | Hailey R Tanis | Massage Therapist | 3131 Smokey Point Drive #5b, Arlington, WA 98223 | 2018-09-06 |
| 1407381023 | Rest Easy Hair Clinic | Specialist | 3710 168th Street N.e. B101, Arlington, WA 98223 | 2017-04-21 |
| 1851839617 | Jamie Claire Chatters-elf | Preventive Medicine | 315 N French Avenue, Arlington, WA 98223 | 2017-02-01 |
| 1790153286 | Glenda Louise Taylor | Massage Therapist | 16404 Smokey Point Blvd #307, 307, Arlington, WA 98223 | 2015-09-14 |
| 1972990042 | Lizette Jamora Antig | Pediatrics | 875 Wesley St Ste 130, Arlington, WA 98223 | 2015-04-16 |
| Find all providers in zip 98223 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932716859 | Gentle Dentistry Inc | Dentist | 1810 S Bowen Rd Ste A, Arlington, TX 76013-3340 | 2020-09-24 |
| 1295348720 | Virginia Plastic Surgery Institute | Dentist | 1016 N Highland St Ste 131b, Arlington, VA 22201-2112 | 2020-08-25 |
| 1487271334 | Moonlight Oral Surgery Pllc | Dentist | 1210 S Glebe Rd Unit 40580, Arlington, VA 22204-0282 | 2020-06-26 |
| 1184091340 | I-20 Oral Surgery Pllc | Dentist | 2200 W I 20, Suite 300, Arlington, TX 76017-1648 | 2015-08-24 |
| 1235526328 | Ryan Patel | Dentist | 1340 S Rolfe St, Arlington, VA 22204-4750 | 2015-04-16 |
| 1306067004 | James Hadley Hall | Dentist | 2304 Interstate 20 W, #150, Arlington, TX 76017-1668 | 2007-05-01 |
| 1548328222 | Paul Edward Menton | Dentist | 847 W Mitchell St, Arlington, TX 76013-2506 | 2006-12-05 |
| 1306915673 | John V Shroyer | Dentist | 2712 Matlock Rd, Arlington, TX 76015 | 2006-11-08 |
| 1215919337 | Haroon Ismaili | Dentist | 2304 W Interstate 20, Suite 150, Arlington, TX 76017-1668 | 2005-11-15 |
| 1306842273 | Stephen C Walters | Dentist | 2200 West Interstate 20, Suite 300, Arlington, TX 76017 | 2005-06-24 |
| Find all providers in ARLINGTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.