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RANDALL PARIS PRINCE DDS
NPI 1154464519
Dentist - General Practice in Dyersburg, TN

Active since February 15, 2007Opted out of Medicare · through Mar 10, 2027
427 TROY AVE, DYERSBURG, TN 38024(731) 286-1583(731) 287-9881 Get Directions Write a Review

NPPES record last updated: March 28, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Randall Paris Prince Dds NPPES

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

RANDALL PARIS PRINCE DDS (NPI 1154464519) is an individual general practice provider in Dyersburg, Tennessee, licensed in Tennessee (DS3389) and active in the NPI registry since February 2007. He has opted out of Medicare through March 10, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1154464519
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameRANDALL PARIS PRINCECredential: DDS
Location Address427 TROY AVEDyersburg, TN 38024-3947
Mailing Address427 Troy AveDyersburg, TN 38024-3947 · (731) 286-1583 · Fax (731) 287-9881
Phone(731) 286-1583
Fax(731) 287-9881
Sole ProprietorYes
Enumeration DateFebruary 15, 2007
Last NPPES UpdateMarch 28, 2017
✔ NPI 1154464519 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in TN · DS3389
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
427 TROY AVE, Dyersburg, TN 38024
Open in Google Maps ↗

Other Identifiers 1

Other0041537TN · Bcbs Of Tennessee

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Guardian.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Randall Paris Prince Dds has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 10, 2015 through March 10, 2027.

Opt-Out Effective DateMarch 10, 2015
Opt-Out In Effect ThroughMarch 10, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38024 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
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

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

ELITE DENTAL CARE DYERSBURG
Clinic/Center (Dental)
427 TROY AVE
DYERSBURG, TN 38024
Dyer County (731) 286-1583

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Randall Prince's NPI number?

The NPI number for Randall Prince is 1154464519. It was assigned to this individual provider in the NPPES registry on February 15, 2007.

Where is Randall Prince located?

Randall Prince practices at 427 Troy Ave, Dyersburg, TN 38024. The listed phone number is (731) 286-1583.

What is Randall Prince's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Randall Prince enrolled in Medicare?

No. Randall Prince has opted out of Medicare through March 10, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Randall Prince accept?

Health plans from Guardian list Randall Prince as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Randall Prince was last updated on March 28, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.