Prime Health Dental Madison West

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

PRIME HEALTH DENTAL MADISON WEST

Practice address

706 S Gammon Rd
Madison, WI 53719-1302

Phone

(608) 979-7770

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

Locations

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": "1417766833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14747 N NORTHSIGHT BLVD STE 111-311",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852602631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "706 S GAMMON RD",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537191302",
            "telephone_number": "608-979-7770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME HEALTH DENTAL MADISON WEST",
        "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": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Priestaf, LPC, MT-BC
• Andrey Prilutskiy
• Prime Assistant Living LLC
• Prime Health Dental
• Prime Health Dental Madison East
• Prime Transit LLC
• Primeetimetransportation LLC
• Primequalitytransportllc
• Samantha Renee Prince, MD
• Rebecca Prinsen

• Dental Clinic/Center in Madison, WI
• Providers in Madison, WI by specialty
• Dental Clinic/Center 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.