OrganizationActive
Ebby Prime, LLC
NPI 1043566466 · Dentist · Chandler, AZ
Provider details
- NPI number
- 1043566466
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Brett Benson, Manager(602) 545-8400
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
390 N Bell Pl
Chandler, AZ 85225-4200
Phone: (602) 568-8116
Street-level locationGet directions
Mailing address
652 E Warner Rd
Gilbert, AZ 85296-3071
Registry dates
- Enumerated
- 2012-08-03
- Last updated
- 2012-08-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.