Prime Dentistry Southfield PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

PRIME DENTISTRY SOUTHFIELD PLLC

Doing business as

dixon family dental

Practice address

23077 Greenfield Rd Ste 210
Southfield, MI 48075-3750

Phone

(248) 552-0223

NPI assigned

May 6, 2021

Organization subpart

No

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

Authorized official

Name

Theresa Labranche

Title

Coo

Phone

(586) 651-2155

Specialties & licenses 1

Addresses

Other names 1

• dixon family dental Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Darlene T Daniels-Dixon, DDS

  • General Practice Dentistry
  • Southfield, MI
  • NPI 1336169705
  NPD (past)

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

{
    "created_epoch": "1620259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620259200000",
    "number": "1598349680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "837 FOREST AVE",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480096452",
            "telephone_number": "586-651-2155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23077 GREENFIELD RD STE 210",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480753750",
            "telephone_number": "248-552-0223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME DENTISTRY SOUTHFIELD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-06",
        "last_updated": "2021-05-06",
        "certification_date": "2021-05-06",
        "status": "A",
        "authorized_official_last_name": "LABRANCHE",
        "authorized_official_first_name": "THERESA",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "586-651-2155"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "dixon family dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Daicia Price, MSW
• Jerome Allen Price, M.A.
• Kimberly Ann Prieto, CHW
• Primary Physicians Unlimited PLLC
• Prime Care Mobility LLC
• Prime Diagnostics Lab Inc.
• Prime Health Services LLC
• Prime Hospice & Services, LLC
• Prime Laboratory, LLC
• Prime Mental Health Staffing, LLC

• General Practice Dentistry in Southfield, MI
• Providers in Southfield, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2021; 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.