Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1376579367 Individual Practitioner Male Practitioner

Dr. Kevin Tyrone Prince , DMD

Dentist - General Practice • Jacksonville, FL

Professional Overview & Biography Verified Profile Summary

Dr. Kevin Prince, DMD is a registered healthcare professional specializing in Dentist - General Practice in Jacksonville, FL. Practice services are available at 1536 N JEFFERSON ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1536 N Jefferson St

Jacksonville, FL 322096525

Telephone 9044756230
Associated Practice Facility / Clinic
🏢 Gainesville Vamc Facility NPI 1992753008

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Jacksonville, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.0 Yrs
Regional Practice Density
363 Specialists

Practicing in Jacksonville, FL (7473 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-07-21
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License 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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Sheree Dozier , RDH

Dental Hygienist

NPI 1114664711

Registered Dental Hygienist

Timothy Robertson

Dental Hygienist

NPI 1215674049
Ashley Carter , RDH

Dental Hygienist

NPI 1902543820

Registered Dental Hygienist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
📍
Updated Practice Location July 21, 2026

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

📍
Updated Business Mailing Address July 21, 2026

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

📍
Updated Practice Location August 05, 2025

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

📍
Updated Business Mailing Address August 05, 2025

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

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

Dentist (License #DN13274 in FL)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

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

📍
Updated Business Mailing Address July 08, 2007

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

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as KEVIN PRINCE, D.M.D.

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

Dentist (License #DN13274 in FL)

🟢
Initial NPI Registration & Enumeration June 23, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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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

Mailing Address

1536 N Jefferson St

Jacksonville, FL 322096525

Phone: 9044756230

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.