Sandford W Prince, DMD Valid NPI
Individual provider · Oral and Maxillofacial Surgery (Dentist) · Johnson City, TN
- NPI
- 1790750586
- Type
- Individual (Type 1)
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist) (Dentist)
- Specialty group
- Dental Providers
- Taxonomy code
- 1223S0112X
- License number
- DS0000009647 (TN)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2006-02-23
- Last updated
- 2023-03-07
Practice location
2306 Knob Creek Road #108, Knob Creek Oral Clinic
Johnson City, TN 37604
(423) 467-5009