Active NPI
Prime Health Dental Fitchburg
- Dental Clinic/Center
- Fitchburg, WI
National Provider Identifier
1942019377
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- PRIME HEALTH DENTAL FITCHBURG
- Practice address
- 3046 Fish Hatchery Rd
Fitchburg, WI 53713-3125 - Phone
- (608) 716-2906
- NPI assigned
- Dec 31, 2024
- Organization subpart
- No
NPPES NPI Registry
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | |||
| Dental Clinic/Center | 261QD0000X | Primary |
Addresses
Primary practice location
3046 Fish Hatchery Rd
Fitchburg, WI 53713-3125
Mailing address
14747 N Northsight Blvd
Scottsdale, AZ 85260-2631
Phone (480) 228-8428
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- Fitchburg, WI
- NPI 1518798297
NPI Registry JSON
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": "1942019377",
"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": "3046 FISH HATCHERY RD",
"city": "FITCHBURG",
"state": "WI",
"postal_code": "537133125",
"telephone_number": "608-716-2906"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRIME HEALTH DENTAL FITCHBURG",
"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": false
},
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fitchburg, WI
Sources for this page
- 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.