LAURA K. KINCANNON (NPI# 1982969242) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982969242 |
| Entity Type | Individual |
| Full Name | LAURA K. KINCANNON |
| Other Name | LAURA KATHERINE ROBERTS |
| Credential | DDS |
| Practice Address |
907 S. Columbia Dr. West Columbia TX 77486 |
| Practice Telephone | 9793455135 |
| Mailing Telephone | 9793451451 |
| Mailing Fax Number | 9793454205 |
| Enumeration Date | 2012-07-11 |
| Last Update Date | 2015-09-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
27950 | TX | Dental Providers |
| Street Address |
907 S. COLUMBIA DR. |
| City | WEST COLUMBIA |
| State | TX |
| Zip Code | 77486 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437310323 | Walgreen Co. | Pharmacy | 100 E Brazos Ave, West Columbia, TX 77486 | 2008-06-23 |
| 1821160409 | Terry L Driggers | Dentist | 505 Dance Drive, West Columbia, TX 77486 | 2006-11-15 |
| 1568560142 | Robert L. Coburn, D.c.,p.c. | Chiropractor | 211 N Columbia Dr, West Columbia, TX 77486-2518 | 2006-09-20 |
| 1700078995 | Robert Lee Coburn | Chiropractor | 211 N Columbia Dr, West Columbia, TX 77486-2518 | 2007-08-13 |
| 1922025105 | Wal-mart Stores Texas LLC | Durable Medical Equipment & Medical Supplies | 301 N Columbia Dr, West Columbia, TX 77486-2520 | 2006-07-16 |
| 1528617883 | Ndidi Godfrey | Pharmacist | 301 N Columbia Dr, West Columbia, TX 77486-2520 | 2019-09-10 |
| 1326527268 | Angela Elizabeth Hughes | Pharmacy | 301 N Columbia Dr, West Columbia, TX 77486-2520 | 2018-08-10 |
| 1144686262 | Boyang Lin | Pharmacist | 301 N Columbia Dr, West Columbia, TX 77486-2520 | 2016-01-05 |
| 1770081028 | Sweeny Hospital District | Clinic/Center | 668 W Brazos Ave Ste 668, West Columbia, TX 77486-2616 | 2018-01-31 |
| 1922349174 | Falon Leshay Turner | Nurse Practitioner | 668 W Brazos Ave, West Columbia, TX 77486-2616 | 2013-03-13 |
| Find all providers in zip 77486 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215460050 | Jose Liens | Dentist | 2265 Augusta Rd, West Columbia, SC 29169-4523 | 2017-04-08 |
| 1992103576 | Jared Huvar Family and Cosmetic Dentistry | Dentist | 907 S Columbia Dr, West Columbia, TX 77486-3637 | 2014-12-12 |
| 1790016905 | West Brazos Dental Center | Dentist | 505 Dance Dr, West Columbia, TX 77486-4019 | 2010-01-28 |
| 1720291214 | Larry D Rickborn | Dentist | 2844 Sunset Blvd, West Columbia, SC 29169-3420 | 2007-05-08 |
| 1568591469 | Kenley Loftis D.m.d Pa | Dentist | 1101 B Ave, West Columbia, SC 29169-6722 | 2007-03-05 |
| 1013044890 | Kenley Jackson Loftis | Dentist | 1429 Sunset Blvd., West Columbia, SC 29169-6722 | 2007-02-27 |
| 1073674941 | Sherry R Powell | Dentist | 120 Midlands Ct, West Columbia, SC 29169-3456 | 2006-12-13 |
| 1932269271 | William Carlos Smith Jr. | Dentist | 3244 Sunset Blvd, West Columbia, SC 29169-3428 | 2006-12-09 |
| 1821164344 | R Hendrix | Dentist | 1534 Platt Springs Rd, West Columbia, SC 29169 | 2006-11-27 |
| 1639252950 | Gary Warran Raymond | Dentist | 113 Medical Circle, West Columbia, SC 29169-3655 | 2006-10-23 |
| Find all providers in WEST COLUMBIA | ||||
| City | WEST COLUMBIA |
| Zip Code | 77486 |
Please comment or provide details below to improve the information on LAURA K. KINCANNON.
| 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.