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PINE RIDGE DENTAL, PLLC
NPI 1881404564
Dentist - General Practice in Longmont, CO

Active since January 13, 2025
541 MAIN ST, LONGMONT, CO 80501(303) 776-0312(303) 776-0312 Get Directions Write a Review

NPPES record last updated: January 13, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Pine Ridge Dental, Pllc NPPES

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

PINE RIDGE DENTAL, PLLC (NPI 1881404564), doing business as Pine Ridge Dental, is a healthcare organization registered as a general practice in Longmont, Colorado and active in the NPI registry since January 2025. The organization lists Nick Sundiam, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1881404564
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NamePINE RIDGE DENTAL, PLLC
Location Address541 MAIN STLongmont, CO 80501-5536
Mailing Address541 Main StLongmont, CO 80501-5536 · (303) 776-0312 · Fax (303) 776-0312
Phone(303) 776-0312
Fax(303) 776-0312
Organization SubpartNo
Authorized OfficialNick SundiamCredentialing Manager · (719) 300-5933
Enumeration DateJanuary 13, 2025
NPPES CertifiedJanuary 13, 2025
✔ NPI 1881404564 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.
541 MAIN ST, Longmont, CO 80501
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Other Names 1

Doing Business AsPine Ridge Dental

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

Other Providers at the Same Location NPPES 6

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

BRUCE L SESSION DDS PC
Dentist (General Practice)
541 MAIN ST
LONGMONT, CO 80501
Boulder County (303) 776-3030
MOUNTAIN SMILES, PLLC
Dentist (General Practice)
541 MAIN ST
LONGMONT, CO 80501
Boulder County (903) 776-3030
DR. J. TAYLOR WORKMAN D.D.S.
Dentist (General Practice)
541 MAIN ST
LONGMONT, CO 80501
Boulder County (303) 776-3030
KRISTIN UTLEY RDH
Dental Hygienist
541 MAIN ST
LONGMONT, CO 80501
Boulder County (303) 776-3030
DR. MICHAEL ALLEN PARK DDS
Dentist (General Practice)
541 MAIN ST
LONGMONT, CO 80501
Boulder County (303) 776-3030
DR. BRUCE LOY SESSIONS DDS
Dentist (General Practice)
541 MAIN ST
LONGMONT, CO 80501
Boulder County (303) 776-3030

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 Pine Ridge Dental, PLLC's NPI number?

The NPI number for Pine Ridge Dental, PLLC is 1881404564. It was assigned to this organization in the NPPES registry on January 13, 2025. The provider is doing business as Pine Ridge Dental.

Where is Pine Ridge Dental, PLLC located?

Pine Ridge Dental, PLLC is located at 541 Main St, Longmont, CO 80501. The listed phone number is (303) 776-0312.

What is Pine Ridge Dental, PLLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Pine Ridge Dental, PLLC was last updated on January 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.