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Dr. Sandford W Prince, DMD
Oral and Maxillofacial Surgery (Dentist) in Johnson City, Tennessee
NPI 1790750586

Sandford W Prince is a Oral and Maxillofacial Surgery (Dentist) based in Johnson City, TN and is specialized in Oral and Maxillofacial Surgery. Sandford W Prince practices in Johnson City, TN and has the professional credentials of DMD. The NPI Number for Sandford W Prince is 1790750586 and holds a License No. (Tennessee).

The current practice location address for Sandford W Prince is 2306 Knob Creek Road #108, Johnson City, TN and can be reached out via phone at 423-467-5009 and via fax at 423-467-5009.

Location: 2306 Knob Creek Road #108, Johnson City, TN, 37604
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1790750586
Provider Name
Sandford W Prince
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
2306 Knob Creek Road #108, Johnson City, TN, 37604
Phone Number
423-467-5009
Fax Number
423-467-5009
Provider Enumeration Date
02/23/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
12683544 01 TN CAQH
465705259 01 TN TENNESSEE
institution
Provider Business Practice Location Address Details
Address
2306 Knob Creek Road #108
City
Johnson City
State
Tennessee
Zip
37604
Phone Number
423-467-5009
Fax Number
423-467-5009
person
Provider Business Mailing Address Details
Address
2306 Knob Creek Road #108
City
Johnson City
State
Tennessee
Zip
37604
Phone Number
423-467-5009
Fax Number
423-467-5009
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
DS0000009647 (Tennessee)
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.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Oral and Maxillofacial Surgery
Taxonomy
261QS0112X
License No.
()
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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Similar Doctors in Johnson City, Tennessee:

institution
Knob Creek Oral Clinic
NPI 1497142137
Oral and Maxillofacial Surgery (Dentist)
2306 Knob Creek Rd,
JOHNSON CITY, TN
37604-2366
423-467-5009
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