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PRIME HEALTH DENTAL MADISON EAST
NPI 1043029465
Dentist in Madison, WI

Active since December 31, 2024CLIA 52D2349659 · Waiver
1853 NORTHPORT DR, MADISON, WI 53704(608) 716-5946 Get Directions Write a Review

NPPES record last updated: December 31, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Prime Health Dental Madison East NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PRIME HEALTH DENTAL MADISON EAST (NPI 1043029465) is a healthcare organization registered as a dentist in Madison, Wisconsin and active in the NPI registry since December 2024. The organization holds a CLIA Waiver certificate valid through August 24, 2028 and lists Melissa Francis, Director, as its authorized official.

NPPES Registry Identity

NPI1043029465
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NamePRIME HEALTH DENTAL MADISON EAST
Location Address1853 NORTHPORT DRMadison, WI 53704-3027
Mailing Address14747 N Northsight BlvdScottsdale, AZ 85260-2631 · (480) 228-8428
Phone(608) 716-5946
Organization SubpartNo
Authorized OfficialMelissa FrancisDirector · (480) 228-8428
Enumeration DateDecember 31, 2024
NPPES CertifiedDecember 31, 2024
✔ NPI 1043029465 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
1853 NORTHPORT DR, Madison, WI 53704
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 52D2349659

Prime Health Dental Madison East · Madison, WI
Active · expires Aug 24, 2028
CLIA Number52D2349659
Laboratory TypeDental Office
Certificate Effective DateAugust 25, 2026
Certificate Expiration DateAugust 24, 2028
Laboratory DirectorDr. Nabil Fehmi
Laboratory Phone(608) 716-5946
Laboratory LocationPrime Health Dental Madison East1853 Northport Dr, Madison, WI 53704
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRIGHT DENTAL MADISON EAST LLC
Clinic/Center (Dental)
1853 NORTHPORT DR
MADISON, WI 53704
Dane County (608) 716-5946
ARJUN DHANNY
Dentist (General Practice)
1853 NORTHPORT DR
MADISON, WI 53704
Dane County (608) 422-4746
RAHUL PATEL DMD
Dentist
1853 NORTHPORT DR
MADISON, WI 53704
Dane County (732) 331-7222

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Prime Health Dental Madison East's NPI number?

The NPI number for Prime Health Dental Madison East is 1043029465. It was assigned to this organization in the NPPES registry on December 31, 2024.

Where is Prime Health Dental Madison East located?

Prime Health Dental Madison East is located at 1853 Northport Dr, Madison, WI 53704. The listed phone number is (608) 716-5946.

What is Prime Health Dental Madison East's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Does Prime Health Dental Madison East hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 52D2349659) is associated with this NPI, valid through August 24, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Prime Health Dental Madison East was last updated on December 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.