Stanley M Prince, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

011016 Issued in GA

Practice address

124A Andrews Way
Saint Marys, GA 31558-9109

Phone

(912) 882-4274

Fax

(912) 673-1311

NPI assigned

Sep 14, 2006

Last updated

Nov 19, 2014By the provider in NPPES

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

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Stanley M. Prince, DMD,PC

  • Dentist
  • Saint Marys, GA
  • NPI 1649308784
  NPD (past) Authorized official
• Cumberland Dental Care

  • General Practice Dentistry
  • Saint Marys, GA
  • NPI 1083597470
  NPD (past)

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416355200000",
    "number": "1174628168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124A ANDREWS WAY",
            "city": "SAINT MARYS",
            "state": "GA",
            "postal_code": "315589109",
            "telephone_number": "912-882-4274",
            "fax_number": "912-673-1311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124A ANDREWS WAY",
            "city": "SAINT MARYS",
            "state": "GA",
            "postal_code": "315589109",
            "telephone_number": "912-882-4274",
            "fax_number": "912-673-1311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRINCE",
        "first_name": "STANLEY",
        "middle_name": "M",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-14",
        "last_updated": "2014-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "011016",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "164676",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "462151A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Pozen
• Abigail Preciado
• Alexa Prestigiacomo
• Primary Care of Coastal Georgia
• Leah Prince
• Prodocs LLC
• Payton Quinif, BCBA
• Elizabeth Raber
• Megan Abigail Rader, PTA
• Janice Paulino Ramirez, FNP-C

• General Practice Dentistry in Saint Marys, GA
• Providers in Saint Marys, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.