OrganizationActive
Summit Family Dental of Kirtland, LLC
NPI 1710215439 · General Practice Dentistry · Kirtland, NM
Summit Family Dental of Kirtland, LLC is a General Practice Dentistry organization in Kirtland, NM (NPI 1710215439).
Provider details
- NPI number
- 1710215439
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Cody Coleman, Owner(505) 598-6800
- License
- DD2872 (NM)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(84/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 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
#3 Cr 6523
Kirtland, NM 87417
Phone: (505) 598-6800
Fax: (505) 598-6830
Street-level locationGet directions
Mailing address
#3 Cr 6523
Kirtland, NM 87417
Registry dates
- Enumerated
- 2009-11-19
- Last updated
- 2020-09-30
- Certified
- 2020-09-30
Frequently asked questions
- What is Summit Family Dental of Kirtland, LLC's NPI number?
- Summit Family Dental of Kirtland, LLC's National Provider Identifier (NPI) is 1710215439, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Summit Family Dental of Kirtland, LLC?
- Summit Family Dental of Kirtland, LLC is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Summit Family Dental of Kirtland, LLC located?
- Summit Family Dental of Kirtland, LLC's practice location on file with NPPES is #3 Cr 6523, Kirtland, NM 87417.
- What is Summit Family Dental of Kirtland, LLC's phone number?
- The practice phone number listed in the NPPES registry for Summit Family Dental of Kirtland, LLC is (505) 598-6800.
- Who is the authorized official for Summit Family Dental of Kirtland, LLC?
- The authorized official listed on Summit Family Dental of Kirtland, LLC's NPPES record is Cody Coleman, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Summit Family Dental of Kirtland, LLC's NPI active?
- Yes — Summit Family Dental of Kirtland, LLC's NPI (1710215439) is active in the NPPES registry as of the last update on 2020-09-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.