KONBO PRINCEWILL D.M.D
NPI 1083846323
Dentist in Springfield, MA

Active since August 20, 2009PECOS Enrolled
1795 MAIN ST, SUITE 116, SPRINGFIELD, MA 01103(413) 439-0568 Get Directions Write a Review

NPPES record last updated: August 20, 2009. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Konbo Princewill D.m.d NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KONBO PRINCEWILL D.M.D (NPI 1083846323) is an individual dentist in Springfield, Massachusetts, licensed in Massachusetts (DN1855251) and active in the NPI registry since August 2009. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083846323
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameKONBO PRINCEWILLCredential: D.M.D
Location Address1795 MAIN ST, SUITE 116Springfield, MA 01103-1077
Mailing Address1795 Main St, Suite 116Springfield, MA 01103-1077
Sole ProprietorNo
Enumeration DateAugust 20, 2009
NPI 1083846323 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in MA · DN1855251
Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

1795 MAIN ST, Springfield, MA 01103

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Konbo Princewill D.m.d is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01103 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$73.22 typical visit price
range $19.11 – $144.84
Typical copayment $18.30 (range $4.77 – $36.21)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (Periodontics)
1795 MAIN ST, SUITE 202
SPRINGFIELD, MA 01103
Dentist (Periodontics)
1795 MAIN ST, SUITE 202
SPRINGFIELD, MA 01103
Dentist
1795 MAIN ST, SUITE 101
SPRINGFIELD, MA 01103
Dentist
1795 MAIN ST
SPRINGFIELD, MA 01103
Dentist (General Practice)
1795 MAIN ST, STE. 202
SPRINGFIELD, MA 01103
Dentist (General Practice)
1795 MAIN ST
SPRINGFIELD, MA 01103
Dentist
1795 MAIN ST, SUITE 101
SPRINGFIELD, MA 01103
Dentist (Orthodontics and Dentofacial Orthopedics)
1795 MAIN ST, #109
SPRINGFIELD, MA 01103

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1083846323, enumerated as an "individual" on August 20, 2009.

The provider is located at 1795 MAIN ST SUITE 116 SPRINGFIELD, MA 01103 and the phone number is (413) 439-0568.

Dentist with taxonomy code 122300000X.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Sheld, Anthem Blue. Please consult your insurance carrier or call the provider to verify.