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Dr. Kevin Tyrone Prince , DMD

Dentist - General Practice β€’ Jacksonville, FL

Active NPI 1376579367 Individual Practitioner Male Practitioner
Practice location in NPPES

1536 N Jefferson St
Jacksonville, FL 322096525

Call 9044756230 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1536 N Jefferson St

Jacksonville, FL 322096525

Telephone 9044756230
Organization at the Same NPPES Address or Phone
Gainesville Vamc Facility NPI 1992753008

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

What Public CMS Data Show

Dentist - General Practice: NPPES taxonomy is a reported classification, not proof of board certification.

Open Payments general payments, program year 2025

All general payments: $278.00 across 2 records.

By nature of payment

  • Education: $200.00 across 1 record.
  • Food and Beverage: $78.00 across 1 record.

Reporting-company totals

  • Straumann USA LLC: $278.00 across 2 records.

A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.

See the full table

Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).

Guide: How to read an Open Payments record

NPI first issued

2006

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Prince has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Prince as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Jacksonville and Florida

351 active clinicians are listed under Dentist - General Practice with a practice address in Jacksonville, FL (7,118 in Florida).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Jacksonville

0% of these 351 clinicians have the CMS telehealth indicator.

0% of these 351 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments Β· Program Year 2025

Program year 2025 (payments made January 1 – December 31, 2025): fewer than 11 records totaling $278.00.

Manufacturer Payment Nature Product Type Amount ($)
Straumann USA LLC
Education
In-kind items and services
β€” General $200.00
Straumann USA LLC
Food and Beverage
In-kind items and services
β€” General $78.00

Source: CMS Open Payments, program year 2025, released June 30, 2026.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-07-21
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

License # reported to NPPES FL DN13274

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Florida Department of Health Medical Quality Assurance.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

ORDER AND REFERRING ONLY - DENTIST

Medicare Enrollment ID

I20230825001447

Enrollment State Jurisdiction

FL

PECOS Control ID

1254794100

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Not Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

25 listed
NPI 1003202458

Doctor of Osteopathic Medicine (D.O.)

Dr. Riaz Ahmed , MD

Psychiatry & Neurology - Psychiatry

NPI 1023244381

Doctor of Medicine (M.D.)

Patricia Barrozo , ARNP, FNP-BC

Nurse Practitioner - Family

NPI 1801174263

Advanced Registered Nurse Practitioner, Family Nurse Practitioner (Board Certified)

NPI 1306365143

Doctor of Osteopathic Medicine (D.O.)

Dr. Patrick Dwyer , MD

Family Medicine

NPI 1528145893

Doctor of Medicine (M.D.)

Amanda Forrest , LCSW

Social Worker - Clinical

NPI 1346575057

Licensed Clinical Social Worker

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

11 Historical Events
πŸ“
Updated Practice Location July 21, 2026

Registered at 1536 N JEFFERSON ST, JACKSONVILLE, FL 322096525 (Tel: 9044756230)

πŸ“
Updated Business Mailing Address July 21, 2026

Registered at 1536 N JEFFERSON ST, JACKSONVILLE, FL 322096525 (Tel: 9044756230)

πŸ“
Updated Practice Location August 05, 2025

Registered at 205 RIVERTOWN SHOPS DR STE 104, ST JOHNS, FL 322597476 (Tel: 7578060180)

πŸ“
Updated Business Mailing Address August 05, 2025

Registered at 50 RIVER BRANCH CT, SAINT AUGUSTINE, FL 320921995 (Tel: 7578060180)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 05, 2025

Dentist (license number reported to NPPES: FL DN13274)

βœ…
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) July 08, 2007

Registered at 705 CHAMPION CT, CHESAPEAKE, VA 233225496 (Tel: 7574825496)

πŸ“
Business Mailing Address (Initial Record) July 08, 2007

Registered at 705 CHAMPION CT, CHESAPEAKE, VA 233225496 (Tel: 7574825496)

πŸ‘€
Provider Name / Credentials (Initial Record) July 08, 2007

Recorded as KEVIN PRINCE, D.M.D.

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (license number reported to NPPES: FL DN13274)

🟒
Initial NPI Registration & Enumeration June 23, 2006

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1376579367
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 23, 2006
Last Update: July 21, 2026
Sole Proprietor: No

Other Dentist - General Practices in Jacksonville

All Dentist - General Practices in Jacksonville

Mailing Address

1536 N Jefferson St

Jacksonville, FL 322096525

Phone: 9044756230

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.