Kenneth Charles Prince in Council - General Practice
Kenneth Charles Prince - NPI 1114967098
Kenneth Charles Prince is a General Practice in Council, Idaho. Kenneth Charles Prince practices all healthcare services and medical treatments related to General Practice. The NPI Number for Kenneth Charles Prince is 1114967098. The last update date is 2012-09-13.
Kenneth Charles Prince's current location address is Po Box 428, Council, Idaho. You can contact this provider via phone number 2082534242. The mailing address for Kenneth Charles Prince is Po Box 428, Council, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenneth Charles Prince |
|---|---|
| Address | Po Box 428, Council, Idaho |
| Phone Number | 2082534242 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1114967098 |
|---|---|
| Provider Enumeration Date | 2006-06-07 |
| Last Updated Date | 2012-09-13 |
Provider Mailing Address Detail
| Address | Po Box 428 |
|---|---|
| City | Council |
| State | Idaho (ID) |
| Post Code | 836120428 |
| Phone Number | 2082534242 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | D4335 |
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Definition: 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. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 527932 | UNITED CONCORDIA | ||
| PR1900 | REGENCE BLUE SHIELD |
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What is the Kenneth Charles Prince's unique identification number?
The Kenneth Charles Prince has been assigned the NPI (National Provider Identifier) Number 1114967098 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Kenneth Charles Prince located?
The Kenneth Charles Prince is located at Po Box 428, Council, ID 836120428.
What is the Kenneth Charles Prince's area of specialization and corresponding taxonomy classification?
The Kenneth Charles Prince's specialty field is General Practice, and it falls under the taxonomy code 1223G0001X, which categorizes healthcare providers based on their specialties.
On what date did the Kenneth Charles Prince receive the assignment of its 1114967098 from the Centers for Medicare & Medicaid Services?
The Kenneth Charles Prince was issued its 1114967098 by the Centers for Medicare & Medicaid Services on 2006-06-07.
As of what date were the details pertaining to Kenneth Charles Prince last refreshed?
The information related to the Kenneth Charles Prince, including its address, specialty, and other relevant details, was last updated on 2012-09-13.
NPI Number: 1215930425
Address: 224 W Exchange St, Akron, OH