Donald M. Primley, D.D.S., M.S.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

D10552 Issued in MN

Practice address

3950 Veterans Dr
Suite 100
Saint Cloud, MN 56303-3410

Phone

(320) 252-3611

Fax

(320) 252-7574

NPI assigned

May 23, 2006

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)

Enrolled

Credentials

Master of Science

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 and National Provider Directory roles.

• Hennepin Faculty Associates

  • General Practice Physician
  • Minneapolis, MN
  • NPI 1063459485
  NPD (past)

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1003861865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3950 VETERANS DR",
            "address_2": "SUITE 100",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563033410",
            "telephone_number": "320-252-3611",
            "fax_number": "320-252-7574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3950 VETERANS DR",
            "address_2": "SUITE 100",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563033410",
            "telephone_number": "320-252-3611",
            "fax_number": "320-252-7574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRIMLEY",
        "first_name": "DONALD",
        "middle_name": "M.",
        "credential": "D.D.S., M.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-23",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MN",
            "license": "D10552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Prime Choice LLC
• Prime Home Healthcare Inc
• Prime Medical Solution Inc
• Primecare Transport Inc
• Primechoice Transport Inc
• Danita Marie Primus, PHARMD
• Professional Hearing & Audiology Services, Inc.
• Profound Therapy LLC
• Project Battle Buddy
• Tara M Prom, LICSW

• Oral and Maxillofacial Surgery (Dentist) in Saint Cloud, MN
• Providers in Saint Cloud, MN by specialty
• Oral and Maxillofacial Surgery (Dentist) in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.