Individual provider · Type 1 NPI

Joshua Lee Kincannon

Dentist · Round Mountain, CA

NPI number 1114617982 Active

Practice location

29632 E Highway 299
Round Mountain, CA 96084-8000

Call (530) 337-5750 Map

Fax (530) 232-9602

Mailing address

12600 Autumn Oaks Ln
Redding, CA 96003-7762

Other practice locations

  • 12600 Autumn Oaks Ln, Redding, CA 96003-7762 · (530) 356-8969

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Dentist Primary 122300000X110518 (CA)

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1114617982

Joshua Lee Kincannon's National Provider Identifier is 1114617982, issued on May 15, 2023. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Round Mountain, CA. The record was last updated on Sep 25, 2024.