National Provider Identifier Database

SANDFORD W PRINCE, DMD – NPI #1790750586
Oral and Maxillofacial Surgery

The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.


Contact Information

SANDFORD W PRINCE, DMD
2306 KNOB CREEK ROAD #108
KNOB CREEK ORAL CLINIC
JOHNSON CITY, TN37604
Phone: 423-467-5009
Fax: 423-467-5009
Website:
Specialty Taxonomy Code
* Oral and Maxillofacial Surgery 1223S0112X
Oral and Maxillofacial Surgery 261QS0112X

* Indicates primary specialty

NPI Profile & details for SANDFORD W PRINCE

NPI Number 1790750586
Credentials DMD (Doctor of Medical Dentistry)
Entity Individual
Enumeration date 02/23/2006
Last updated 03/07/2023 - About 3 years ago
Sole proprietor1 Yes
Identifiers
  • TN License #: DS0000009647
  • TN Other: 12683544 CAQH
  • TN Other: 465705259 TENNESSEE
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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