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DR. SANDFORD W PRINCE DMD
NPI 1790750586
Dentist - Oral and Maxillofacial Surgery in Johnson City, TN

Active since February 23, 2006PECOS Enrolled
2306 KNOB CREEK ROAD #108, KNOB CREEK ORAL CLINIC, JOHNSON CITY, TN 37604(423) 467-5009(423) 467-5009 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Sandford W Prince Dmd NPPES

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

DR. SANDFORD W PRINCE DMD (NPI 1790750586) is an individual oral and maxillofacial surgery provider in Johnson City, Tennessee, licensed in Tennessee (DS0000009647) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790750586
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. SANDFORD W PRINCECredential: DMD
Location Address2306 KNOB CREEK ROAD #108, KNOB CREEK ORAL CLINICJohnson City, TN 37604
Mailing Address2306 Knob Creek Road #108, Knob Creek Oral ClinicJohnson City, TN 37604 · (423) 467-5009 · Fax (423) 467-5009
Phone(423) 467-5009
Fax(423) 467-5009
Sole ProprietorYes
Enumeration DateFebruary 23, 2006
Last NPPES UpdateMarch 7, 2023
✔ NPI 1790750586 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in TN · DS0000009647
Definition

An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

Also ListedClinic/Center · Oral and Maxillofacial SurgeryTaxonomy 261QS0112X

Other Names 1

Other Name (5)Mr. Sanford Prince Dmd

Other Identifiers 2

Other12683544TN · Caqh
Other465705259TN · Tennessee

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama and more.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. Sandford W Prince Dmd 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 37604 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.

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 Sandford Prince's NPI number?

The NPI number for Sandford Prince is 1790750586. It was assigned to this individual provider in the NPPES registry on February 23, 2006. The provider is also known as Mr. Sanford Prince Dmd.

Where is Sandford Prince located?

Sandford Prince practices at 2306 Knob Creek Road #108 Knob Creek Oral Clinic, Johnson City, TN 37604. The listed phone number is (423) 467-5009.

What is Sandford Prince's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Sandford Prince enrolled in Medicare?

Yes. Sandford Prince is registered in the Medicare PECOS enrollment system.

What insurance does Sandford Prince accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 7 other insurers list Sandford 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 Sandford Prince was last updated on March 7, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.