National Provider Identifier Database

KENNETH C PRINCE, DDS – NPI #1114967098
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.


Contact Information

KENNETH C PRINCE, DDS
205 N BERKLEY AVE
COUNCIL, ID83612
Phone: 208-253-4242
Fax:
Website:
Specialty Taxonomy Code
* General Practice 1223G0001X

* Indicates primary specialty

NPI Profile & details for KENNETH C PRINCE

NPI Number 1114967098
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 06/07/2006
Last updated 09/13/2012 - About 14 years ago
Sole proprietor1 No
Identifiers
  • ID License #: D4335
  • Other: PR1900 REGENCE BLUE SHIELD
  • Other: 527932 UNITED CONCORDIA
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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