OrganizationActive
Mountain Ridge Dentistry
NPI 1720759228 · Dental Clinic/Center · Berthoud, CO
Mountain Ridge Dentistry is a Dental Clinic/Center organization in Berthoud, CO (NPI 1720759228).
Provider details
- NPI number
- 1720759228
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Austin Deporter, Dentist, Owner(970) 528-0900
Practice location
310 Mountain Ave
Berthoud, CO 80513-5004
Phone: (970) 528-0900
Street-level locationGet directions
Mailing address
310 Mountain Ave Po Box 1694
Berthoud, CO 80513
Registry dates
- Enumerated
- 2021-09-23
- Last updated
- 2021-09-23
- Certified
- 2021-09-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.