OrganizationActive
Prime Dental
NPI 1417545880 · General Practice Dentistry · Grand Prairie, TX
Provider details
- NPI number
- 1417545880
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Nilam Patel, Owner(972) 408-0408
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
2580 W Camp Wisdom Rd Ste 300
Grand Prairie, TX 75052-3091
Phone: (972) 408-0408
Street-level locationGet directions
Mailing address
4116 Saguaro Ln
Irving, TX 75063-1242
Registry dates
- Enumerated
- 2021-01-01
- Last updated
- 2021-01-01
- Certified
- 2021-01-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.