| Charles L. Kincaid D.d.s. P.a. | |
|
306 E 23rd St Lawrence KS 66046-4801 | |
| (785) 843-4333 | |
| (785) 843-1218 |
| Full Name | Charles L. Kincaid D.d.s. P.a. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 306 E 23rd St, Lawrence, Kansas |
| Authorized Official Name and Position | Charles L. Kincaid (OWNER) |
| Authorized Official Contact | 7858434333 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Charles L. Kincaid D.d.s. P.a. 306 E 23rd St Lawrence KS 66046-4801 Ph: (785) 843-4333 | Charles L. Kincaid D.d.s. P.a. 306 E 23rd St Lawrence KS 66046-4801 Ph: (785) 843-4333 |
| NPI Number | 1477632560 |
|---|---|
| Provider Enumeration Date | 11/02/2006 |
| Last Update Date | 10/28/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477632560 | NPI | - | NPPES |
| 100096960B | Medicaid | KS | |
| 100348570B | Medicaid | KS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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