OrganizationActive
Peppermint Dental-Montgomery LLC
NPI 1790089068 · Dentist · Albuquerque, NM
Peppermint Dental-Montgomery LLC is a Dentist organization in Albuquerque, NM (NPI 1790089068).
Provider details
- NPI number
- 1790089068
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Mary Pu, Cfo(972) 869-3789
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(82/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 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
4411 San Mateo Blvd Ne
Suite E-1
Albuquerque, NM 87109-2011
Phone: (972) 869-3789
Street-level locationGet directions
Mailing address
7301 State Highway 161 Ste 198
Irving, TX 75039-2880
Registry dates
- Enumerated
- 2010-12-30
- Last updated
- 2010-12-30
Frequently asked questions
- What is Peppermint Dental-Montgomery LLC's NPI number?
- Peppermint Dental-Montgomery LLC's National Provider Identifier (NPI) is 1790089068, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Peppermint Dental-Montgomery LLC?
- Peppermint Dental-Montgomery LLC is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Peppermint Dental-Montgomery LLC located?
- Peppermint Dental-Montgomery LLC's practice location on file with NPPES is 4411 San Mateo Blvd Ne, Albuquerque, NM 87109-2011.
- What is Peppermint Dental-Montgomery LLC's phone number?
- The practice phone number listed in the NPPES registry for Peppermint Dental-Montgomery LLC is (972) 869-3789.
- Who is the authorized official for Peppermint Dental-Montgomery LLC?
- The authorized official listed on Peppermint Dental-Montgomery LLC's NPPES record is Mary Pu, Cfo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Peppermint Dental-Montgomery LLC's NPI active?
- Yes — Peppermint Dental-Montgomery LLC's NPI (1790089068) is active in the NPPES registry as of the last update on 2010-12-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.