BLUE RIDGE FAMILY DENTISTRY, PC
NPI 1366914012
Clinic/Center - Dental in Pinetop, AZ

Active since December 19, 2018
1450 E WHITE MOUNTAIN BLVD STE A, PINETOP, AZ 85935(928) 367-4466 Get Directions Write a Review

NPPES record last updated: December 19, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Blue Ridge Family Dentistry, Pc NPPES

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

BLUE RIDGE FAMILY DENTISTRY, PC (NPI 1366914012) is a healthcare organization registered as a dental in Pinetop, Arizona and active in the NPI registry since December 2018. The organization lists Jonathan Hanridge, President, Brfd, Pc, as its authorized official.

NPPES Registry Identity

NPI1366914012
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameBLUE RIDGE FAMILY DENTISTRY, PC
Location Address1450 E WHITE MOUNTAIN BLVD STE APinetop, AZ 85935-7091
Mailing AddressPo Box 3768Pinetop, AZ 85935-3768 · (928) 367-4466
Organization SubpartNo
Authorized OfficialJonathan HanridgePresident, Brfd, Pc · (928) 367-4466
Enumeration DateDecember 19, 2018
NPI 1366914012 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
1450 E WHITE MOUNTAIN BLVD STE A, Pinetop, AZ 85935

Other Providers at the Same Location NPPES

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

Dentist
1450 E WHITE MOUNTAIN BLVD STE A
PINETOP, AZ 85935

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 Blue Ridge Family Dentistry, PC's NPI number?

The NPI number for Blue Ridge Family Dentistry, PC is 1366914012. It was assigned to this organization in the NPPES registry on December 19, 2018.

Where is Blue Ridge Family Dentistry, PC located?

Blue Ridge Family Dentistry, PC is located at 1450 E White Mountain Blvd Ste A, Pinetop, AZ 85935. The listed phone number is (928) 367-4466.

What is Blue Ridge Family Dentistry, PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Blue Ridge Family Dentistry, PC was last updated on December 19, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.