# MADSEN, MAXFIELD, KARLSON, CLEMENTS, MCMANAMON, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Prime Dental Kennewick
- **Organization subpart:** No

## Provider details

- **NPI number:** 1811845308
- **Authorized official:** JERALYNN HERNANDEZ (HEAD OF ADMINISTRATIVE OPERATIONS)
- **Authorized official phone:** (509) 967-3421

## Contact information

- **Practice address:** 8511 W CLEARWATER AVE STE A, KENNEWICK, WA 99336-9592
- **Practice address phone:** (509) 967-3421
- **Mailing address:** 4476 W VAN GIESEN ST, WEST RICHLAND, WA 99353-5411
- **Mailing address phone:** (509) 967-3421
- **Mailing address fax:** (509) 967-2186

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 03/19/2026
- **Last updated:** 03/19/2026