TRI DENTAL, LLC
NPI 1124779210
Dentist - General Practice in Rio Rancho, NM

Active since January 11, 2022
2345 SOUTHERN BLVD SE STE B1, RIO RANCHO, NM 87124(505) 892-0111 Get Directions Write a Review

NPPES record last updated: January 11, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tri Dental, Llc NPPES

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

TRI DENTAL, LLC (NPI 1124779210), doing business as Sonrisa Family Dental- Rio Rancho, is a healthcare organization registered as a general practice in Rio Rancho, New Mexico and active in the NPI registry since January 2022. The organization lists Brenton Mason, Member, as its authorized official.

NPPES Registry Identity

NPI1124779210
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameTRI DENTAL, LLC
Location Address2345 SOUTHERN BLVD SE STE B1Rio Rancho, NM 87124-3761
Mailing Address2345 Southern Blvd Se Ste B1Rio Rancho, NM 87124-3761 · (505) 892-0111
Organization SubpartYes
Authorized OfficialBrenton MasonMember · (505) 301-4267
Enumeration DateJanuary 11, 2022
NPPES CertifiedJanuary 11, 2022
NPI 1124779210 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.
2345 SOUTHERN BLVD SE STE B1, Rio Rancho, NM 87124

Other Names 1

Doing Business AsSonrisa Family Dental- Rio Rancho

Other Identifiers 1

Medicaid50284282NM

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

Accepted Insurance

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.

Dentist (General Practice)
2345 SOUTHERN BLVD SE STE B1
RIO RANCHO, NM 87124
Dentist (General Practice)
2345 SOUTHERN BLVD SE STE B1
RIO RANCHO, NM 87124

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 Tri Dental, LLC's NPI number?

The NPI number for Tri Dental, LLC is 1124779210. It was assigned to this organization in the NPPES registry on January 11, 2022. The provider is doing business as Sonrisa Family Dental- Rio Rancho.

Where is Tri Dental, LLC located?

Tri Dental, LLC is located at 2345 Southern Blvd SE Ste B1, Rio Rancho, NM 87124. The listed phone number is (505) 892-0111.

What is Tri Dental, LLC's specialty?

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

What insurance does Tri Dental, LLC accept?

Health plans from UnitedHealthcare list Tri Dental, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tri Dental, LLC was last updated on January 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.