MEDICARE: DR. CHARLES L KINCAID DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	5272	KS

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	12985022	OTHER	BCBSKC
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	116696	OTHER	BCBSKS
4	21647	OTHER	UNITED CONCORDIA

General Provider Information

NPI Number	:	1538137187
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHARLES L KINCAID DDS

Provider Business Mailing Address
First Line	:	PO BOX 3745
Second Line	:
City	:	LAWRENCE
State	:	KS
Zip	:	66046-0745
Country	:	US
Telephone Number	:	785-843-4559
Fax Number	:	785-843-1218

Provider Business Practice Location Address
First Line	:	306 E 23RD ST
Second Line	:
City	:	LAWRENCE
State	:	KS
Zip	:	66046-4801
Country	:	US
Telephone Number	:	785-843-4559
Fax Number	:	785-843-1218

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/09/2006
Last Update Date	:	10/06/2017

Similar Medicare Providers

1942278585 — DR. SUSAN G HALL DDS
Practice Location Address:

306 E 23RD ST
LAWRENCE, KS
66046-4801

Practice Phone: 785-843-4559
Practice Fax: 785-843-1218

1477632560 — CHARLES L. KINCAID D.D.S. P.A.
Practice Location Address:

306 E 23RD ST
LAWRENCE, KS
66046-4801

Practice Phone: 785-843-4333
Practice Fax: 785-843-1218

1154035236 — BHG LXXXIV, LLC
Practice Location Address:

1910 HASKELL AVENUE, SUITE 9 , OBOT ROOM #100
LAWRENCE, KS
66046-3296

Practice Phone: 785-856-4357
Practice Fax: 785-856-1127

1083462717 — SARAH NICOLE DEMATO APRN
Practice Location Address:

1045 E 23RD ST
LAWRENCE, KS
66046-5003

Practice Phone: 785-393-6167
Practice Fax:

1437153038 — CITY OF LAWRENCE
Practice Location Address:

1911 STEWART AVE
LAWRENCE, KS
66046

Practice Phone: 785-830-7000
Practice Fax: 785-830-7090

1003801846 — MS. MARGARET ANN DALY ARNP
Practice Location Address:

2415 MASSACHUSETTS ST
LAWRENCE, KS
66046-4827

Practice Phone: 785-832-4846
Practice Fax: 785-843-8815

Directions to “ DR. CHARLES L KINCAID DDS” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.