MEDICARE: STANLEY M PRINCE D.M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	011016	GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	164676	OTHER	GA	UNITED CONCORDIA

General Provider Information

NPI Number	:	1174628168
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STANLEY M PRINCE D.M.D.

Provider Business Mailing Address
First Line	:	124A ANDREWS WAY
Second Line	:
City	:	SAINT MARYS
State	:	GA
Zip	:	31558-9109
Country	:	US
Telephone Number	:	912-882-4274
Fax Number	:	912-673-1311

Provider Business Practice Location Address
First Line	:	124A ANDREWS WAY
Second Line	:
City	:	SAINT MARYS
State	:	GA
Zip	:	31558-9109
Country	:	US
Telephone Number	:	912-882-4274
Fax Number	:	912-673-1311

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/14/2006
Last Update Date	:	11/19/2014

Similar Medicare Providers

1972261915 — BISHESTA KARANJIT
Practice Location Address:

2904 ROOSEVELT RD STE 1
SAINT CLOUD, MN
56301-9109

Practice Phone: 320-558-8315
Practice Fax:

1720290281 — STATE MEDICAL SUPPLY PROVIDER, INC
Practice Location Address:

9109 LACKLAND RD
SAINT LOUIS, MO
63114-5410

Practice Phone: 314-426-5903
Practice Fax: 314-890-2110

1366735607 — FRONT PORCH HEALTH, INC
Practice Location Address:

4755 N KENANSVILLE RD
SAINT CLOUD, FL
34773-9109

Practice Phone: 407-797-3175
Practice Fax:

1821363037 — CHIROPRACTIC CENTRE OF CRESTWOOD INC.
Practice Location Address:

9109 WATSON RD
SAINT LOUIS, MO
63126-2235

Practice Phone: 314-961-4101
Practice Fax: 314-961-1886

1194169334 — CRESTWOOD BACK AND NECK PAIN CLINIC
Practice Location Address:

9109 WATSON RD
SAINT LOUIS, MO
63126-2235

Practice Phone: 314-961-4101
Practice Fax:

1598144826 — YOLANDA DENISE HENDERSON-CHAMBERS RN
Practice Location Address:

9109 SAINT BARTS RD
FORT WORTH, TX
76123-3525

Practice Phone: 817-210-2049
Practice Fax:

Directions to “ STANLEY M PRINCE D.M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.