Prime Health Dental Madison East

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

PRIME HEALTH DENTAL MADISON EAST

Practice address

1853 Northport Dr
Madison, WI 53704-3027

Phone

(608) 716-5946

NPI assigned

Dec 31, 2024

Organization subpart

No

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

Authorized official

Name

Melissa Francis

Title

Director

Phone

(480) 228-8428

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1735603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735603200000",
    "number": "1043029465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14747 N NORTHSIGHT BLVD",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852602631",
            "telephone_number": "480-228-8428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1853 NORTHPORT DR",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537043027",
            "telephone_number": "608-716-5946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME HEALTH DENTAL MADISON EAST",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-31",
        "last_updated": "2024-12-31",
        "certification_date": "2024-12-31",
        "status": "A",
        "authorized_official_last_name": "FRANCIS",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "480-228-8428"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Robert Priest, MD
• Emily Priestaf, LPC, MT-BC
• Andrey Prilutskiy
• Prime Assistant Living LLC
• Prime Health Dental
• Prime Health Dental Madison West
• Prime Transit LLC
• Primeetimetransportation LLC
• Primequalitytransportllc
• Samantha Renee Prince, MD

• Dentist in Madison, WI
• Providers in Madison, WI by specialty
• Dentist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2024; 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.