1. Home
  2. Directory
  3. Michigan
  4. Lincoln Park
  5. Dentist
  6. NPI Profile

PRIME DENTISTRY LINCOLN PARK
NPI 1164128401
Dentist - General Practice in Lincoln Park, MI

Active since February 07, 2023
1880 EMMONS BLVD, LINCOLN PARK, MI 48146(313) 388-8444 Get Directions Write a Review

NPPES record last updated: February 7, 2023. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Prime Dentistry Lincoln Park NPPES

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

PRIME DENTISTRY LINCOLN PARK (NPI 1164128401) is a healthcare organization registered as a general practice in Lincoln Park, Michigan and active in the NPI registry since February 2023. The organization lists Jessica Tomes, Operations Director, as its authorized official.

NPPES Registry Identity

NPI1164128401
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NamePRIME DENTISTRY LINCOLN PARK
Location Address1880 EMMONS BLVDLincoln Park, MI 48146-3866
Mailing Address24505 Fairmount DrDearborn, MI 48124-1541
Phone(313) 388-8444
Organization SubpartNo
Authorized OfficialJessica TomesOperations Director · (734) 722-1617
Enumeration DateFebruary 7, 2023
NPPES CertifiedFebruary 7, 2023
✔ NPI 1164128401 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
1880 EMMONS BLVD, Lincoln Park, MI 48146
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

DR. JOSEPH ARTHUR PADESKY D.D.S.
Dentist (General Practice)
1880 EMMONS BLVD
LINCOLN PARK, MI 48146
Wayne County (313) 388-8444
JOSEPH A PADESKY, D.D.S., PC
Clinic/Center (Dental)
1880 EMMONS BLVD
LINCOLN PARK, MI 48146
Wayne County (313) 388-8444

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 Dentistry Lincoln Park's NPI number?

The NPI number for Prime Dentistry Lincoln Park is 1164128401. It was assigned to this organization in the NPPES registry on February 7, 2023.

Where is Prime Dentistry Lincoln Park located?

Prime Dentistry Lincoln Park is located at 1880 Emmons Blvd, Lincoln Park, MI 48146. The listed phone number is (313) 388-8444.

What is Prime Dentistry Lincoln Park's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Prime Dentistry Lincoln Park was last updated on February 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.