Eric Scott Prins, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

2901021888 Issued in MI

Practice address

855 N Darling Ave
Fremont, MI 49412-9662

Phone

(231) 924-4650

NPI assigned

Aug 5, 2016

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Prins Family Dentistry

  • Dental Clinic/Center
  • Fremont, MI
  • NPI 1922735091
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1470355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559174400000",
    "number": "1174077341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "855 N DARLING AVE",
            "city": "FREMONT",
            "state": "MI",
            "postal_code": "494129662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 N DARLING AVE",
            "city": "FREMONT",
            "state": "MI",
            "postal_code": "494129662",
            "telephone_number": "231-924-4650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRINS",
        "first_name": "ERIC",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-08-05",
        "last_updated": "2019-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901021888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pine Medical Group, PC
• Joyce Ann Plumstead, LLMSW
• David L Poel, CRNA
• Shanoa Dione Praay
• Prins Family Dentistry
• Raymond Prins III, DDS
• Pulmonary Home Care, Inc.
• JC Ransom, LMSW
• David Gerald Raquet, MA LMFT, LLP
• Kira Lynn Raquet

• Dentist in Fremont, MI
• Providers in Fremont, MI by specialty
• Dentist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.