OrganizationActive
Country Ridge Family Dental PLLC
NPI 1679733174 · Dental Clinic/Center · Kennewick, WA
Provider details
- NPI number
- 1679733174
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Craig Barney, Member(509) 374-4077
- License
- DE00010238 (WA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(87/100 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
7233 W Deschutes Ave
Suite E
Kennewick, WA 99336-6707
Phone: (509) 374-4077
Fax: (509) 374-2737
Street-level locationGet directions
Mailing address
7233 W Deschutes Ave
Kennewick, WA 99336
Other names (DBA / former)
- Doing business as
- Tailor Made Smiles
Registry dates
- Enumerated
- 2008-06-10
- Last updated
- 2008-06-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.