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Contact Information

KENNETH C PRINCE, DDS
205 N BERKLEY AVE
COUNCIL, ID83612
 Phone: 208-253-4242
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for KENNETH C PRINCE · (Male)

NPI # 1114967098
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 06/07/2006
Last updated 09/13/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • ID License # D4335
  • Other PR1900 REGENCE BLUE SHIELD
  • Other 527932 UNITED CONCORDIA
Hospital affiliation(s) Not Available
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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