IndividualActive
Bradley Kincheloe, DDS
NPI 1194842492 · General Practice Dentistry · Cheyenne, WY
Provider details
- NPI number
- 1194842492
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- License
- 1070 (WY)
Specialties & taxonomies
Dental Providers
Practice location
6244 Yellowstone Rd
Cheyenne, WY 82009-3432
Phone: (307) 638-8520
Approximate (ZIP-level) locationGet directions
Mailing address
2625 Wildhorse Trl
Cheyenne, WY 82009-2232
Registry dates
- Enumerated
- 2007-03-23
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.