OrganizationActive
Tri-States Dental, Inc.
NPI 1649460221 · General Practice Dentistry · Bullhead City, AZ
Provider details
- NPI number
- 1649460221
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Dominic DO, Cfo(928) 704-0144
- License
- 4817 (NV)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
1518 Sierra Vista Dr
Bullhead City, AZ 86442-6069
Phone: (928) 704-0144
Fax: (928) 704-9791
Street-level locationGet directions
Mailing address
1518 Sierra Vista Dr
Bullhead City, AZ 86442-6069
Registry dates
- Enumerated
- 2007-07-30
- Last updated
- 2007-07-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.