Sandford W Prince in Johnson City - Oral And Maxillofacial Surgery
Sandford W Prince - NPI 1790750586
Sandford W Prince is a Oral And Maxillofacial Surgery in Johnson City, Tennessee. Sandford W Prince practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Sandford W Prince is 1790750586. The last update date is 2023-03-07.
Sandford W Prince's current location address is 2306 Knob Creek Road #108, Johnson City, Tennessee. You can contact this provider via phone number 4234675009 and fax number 4234675009. The mailing address for Sandford W Prince is 2306 Knob Creek Road #108, Johnson City, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Sandford W Prince |
|---|---|
| Address | 2306 Knob Creek Road #108, Johnson City, Tennessee |
| Phone Number | 4234675009 |
| Fax Number | 4234675009 |
| Sole Proprietor | Y |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1790750586 |
|---|---|
| Provider Enumeration Date | 2006-02-23 |
| Last Updated Date | 2023-03-07 |
Provider Mailing Address Detail
| Address | 2306 Knob Creek Road #108 |
|---|---|
| City | Johnson City |
| State | Tennessee (TN) |
| Post Code | 37604 |
| Phone Number | 4234675009 |
| Fax Number | 4234675009 |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Surgery |
|---|---|
| Taxonomy | 261Qs0112X |
|
Definition: 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. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 12683544 | TN | CAQH | |
| 465705259 | TN | TENNESSEE |
Post Comment/ Review Below
What is the Sandford W Prince's unique identification number?
The Sandford W Prince has been assigned the NPI (National Provider Identifier) Number 1790750586 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete address where Sandford W Prince is physically located?
The Sandford W Prince is situated at the following address: 2306 Knob Creek Road #108, Johnson City, TN 37604.
What is the Sandford W Prince's specialty and taxonomy code?
The Sandford W Prince's specialty is Oral And Maxillofacial Surgery, and the corresponding taxonomy code is 261Qs0112X.
On what date was the 1790750586 assigned to Sandford W Prince?
The Sandford W Prince was issued its 1790750586 on 2006-02-23, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Sandford W Prince most recently updated or refreshed?
The details pertaining to the Sandford W Prince, including its address, specialty, and other relevant information, were last updated or refreshed on 2023-03-07.
NPI Number: 1356344279
Address: Mount St. Mary's Hospital Laboratory, Lewiston, NY