Dr Kenneth Charles Prince, DDS | |
205 N Berkley Ave, Council, ID 83612 | |
(208) 253-4242 | |
Not Available |
Full Name | Dr Kenneth Charles Prince |
---|---|
Gender | Male |
Speciality | Dentist - General Practice |
Location | 205 N Berkley Ave, Council, Idaho |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1114967098 | NPI | - | NPPES |
527932 | Other | UNITED CONCORDIA | |
PR1900 | Other | REGENCE BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | D4335 (Idaho) | Primary |
Mailing Address | Practice Location Address |
---|---|
Dr Kenneth Charles Prince, DDS Po Box 428, Council, ID 83612-0428 Ph: (208) 253-4242 | Dr Kenneth Charles Prince, DDS 205 N Berkley Ave, Council, ID 83612 Ph: (208) 253-4242 |
Dr. Gregory Grant Smith, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 205 N Berkley St, Council, ID 83612 Phone: 208-253-4242 | |
Monte Roscoe Eppich, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 205 N Berkley St, Council, ID 83612 Phone: 208-253-4242 Fax: 208-253-6849 |