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Dr. Kenneth Charles Prince, DDS
General Practice Dentistry in Council, Idaho
NPI 1114967098

Kenneth Charles Prince is a General Practice Dentistry based in Council, ID and is specialized in General Practice. Kenneth Charles Prince practices in Council, ID and has the professional credentials of DDS. The NPI Number for Kenneth Charles Prince is 1114967098 and holds a License No. D4335 (Idaho).

The current practice location address for Kenneth Charles Prince is 205 N Berkley Ave, Council, ID and can be reached out via phone at 208-253-4242.

Location: 205 N Berkley Ave, Council, ID, 83612-0428
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1114967098
Provider Name
Kenneth Charles Prince
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
205 N Berkley Ave, Council, ID, 83612-0428
Phone Number
208-253-4242
Fax Number
Provider Enumeration Date
06/07/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
527932 01 UNITED CONCORDIA
PR1900 01 REGENCE BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
205 N Berkley Ave
City
Council
State
Idaho
Zip
83612
Phone Number
208-253-4242
Fax Number
person
Provider Business Mailing Address Details
Address
205 N Berkley Ave
City
Council
State
Idaho
Zip
83612
Phone Number
208-253-4242
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
D4335 (Idaho)
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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