OrganizationActive
Four Corners Family Dental-Co, LLC
NPI 1003295478 · Dentist · Pagosa Springs, CO
Provider details
- NPI number
- 1003295478
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Parent organization
- Four Corners Family Dental, LLC
- Organization subpart
- Yes
- Authorized official
- Jennifer Mann, Office Manager(505) 320-2942
- License
- DEN.0000111 (CO)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(74/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
308 N Pagosa St
Pagosa Springs, CO 81147
Phone: (970) 507-1300
Street-level locationGet directions
Mailing address
3501 N Butler Ave Ste 104
Farmington, NM 87401
Registry dates
- Enumerated
- 2015-05-19
- Last updated
- 2015-05-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.