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MOUNTAIN RIDGE DENTISTRY
NPI 1720759228
Clinic/Center - Dental in Berthoud, CO

Active since September 23, 2021
310 MOUNTAIN AVE, BERTHOUD, CO 80513(970) 528-0900 Get Directions Write a Review

NPPES record last updated: September 23, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mountain Ridge Dentistry NPPES

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

MOUNTAIN RIDGE DENTISTRY (NPI 1720759228) is a healthcare organization registered as a dental in Berthoud, Colorado and active in the NPI registry since September 2021. The organization lists Austin Deporter, Dentist, Owner, as its authorized official.

NPPES Registry Identity

NPI1720759228
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameMOUNTAIN RIDGE DENTISTRY
Location Address310 MOUNTAIN AVEBerthoud, CO 80513-5004
Mailing Address310 Mountain Ave Po Box 1694, Po Box 1694Berthoud, CO 80513 · (970) 528-0900 · Fax (970) 528-9090
Phone(970) 528-0900
Organization SubpartNo
Authorized OfficialAustin DeporterDentist, Owner · (970) 528-0900
Enumeration DateSeptember 23, 2021
NPPES CertifiedSeptember 23, 2021
✔ NPI 1720759228 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
310 MOUNTAIN AVE, Berthoud, CO 80513
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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 Mountain Ridge Dentistry's NPI number?

The NPI number for Mountain Ridge Dentistry is 1720759228. It was assigned to this organization in the NPPES registry on September 23, 2021.

Where is Mountain Ridge Dentistry located?

Mountain Ridge Dentistry is located at 310 Mountain Ave, Berthoud, CO 80513. The listed phone number is (970) 528-0900.

What is Mountain Ridge Dentistry'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 Mountain Ridge Dentistry was last updated on September 23, 2021. 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.