DR. KEVIN TYRONE PRINCE D.M.D.
NPI 1376579367
Dentist - General Practice in Jacksonville, FL
About Dr. Kevin Tyrone Prince D.m.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. KEVIN TYRONE PRINCE D.M.D. (NPI 1376579367) is an individual general practice provider in Jacksonville, Florida, licensed in Florida (DN13274) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
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)
Dr. Kevin Tyrone Prince D.m.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 32209 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
JACKSONVILLE, FL 32209
JACKSONVILLE, FL 32209
JACKSONVILLE, FL 32209
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 Kevin Prince's NPI number?
The NPI number for Kevin Prince is 1376579367. It was assigned to this individual provider in the NPPES registry on June 23, 2006.
Where is Kevin Prince located?
Kevin Prince practices at 1536 N Jefferson St, Jacksonville, FL 32209. The listed phone number is (904) 475-6230.
What is Kevin Prince's specialty?
The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.
Is Kevin Prince enrolled in Medicare?
Yes. Kevin Prince is registered in the Medicare PECOS enrollment system.
What insurance does Kevin Prince accept?
Health plans from Ambetter Health, Ambetter of Alabama, Anthem Blue Cross and Blue Shield, BEST Life and Blue Cross and Blue Shield of Montana and 12 other insurers list Kevin 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 Kevin Prince was last updated on July 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 33 days 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.
# Dr. Kevin Tyrone Prince, D.M.D. · NPI 1376579367
General Practice provider in Jacksonville, Florida. Individual provider, active in the CMS NPPES registry since June 23, 2006.
## Identity
- **NPI:** 1376579367 (Entity type: Individual)
- **Enumerated:** June 23, 2006
- **Primary specialty:** Dentist - General Practice · taxonomy 1223G0001X
- **State license:** DN13274 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 1536 N JEFFERSON ST, Jacksonville, FL 32209-6525
- **Phone:** (904) 475-6230
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
## Record status
- **NPPES last updated:** July 21, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1376579367) · Data from the CMS NPPES public registry.