OrganizationActive
Pine Ridge Dental, PLLC
NPI 1881404564 · General Practice Dentistry · Longmont, CO
Pine Ridge Dental, PLLC is a General Practice Dentistry organization in Longmont, CO (NPI 1881404564).
Provider details
- NPI number
- 1881404564
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Nick Sundiam, Credentialing Manager(719) 300-5933
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(55/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr 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
541 Main St
Longmont, CO 80501-5536
Phone: (303) 776-0312
Fax: (303) 776-0312
Street-level locationGet directions
Mailing address
541 Main St
Longmont, CO 80501-5536
Other names (DBA / former)
- Doing business as
- Pine Ridge Dental
Registry dates
- Enumerated
- 2025-01-13
- Last updated
- 2025-01-13
- Certified
- 2025-01-13
Frequently asked questions
- What is Pine Ridge Dental, PLLC's NPI number?
- Pine Ridge Dental, PLLC's National Provider Identifier (NPI) is 1881404564, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pine Ridge Dental, PLLC?
- Pine Ridge Dental, PLLC is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Pine Ridge Dental, PLLC located?
- Pine Ridge Dental, PLLC's practice location on file with NPPES is 541 Main St, Longmont, CO 80501-5536.
- What is Pine Ridge Dental, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Pine Ridge Dental, PLLC is (303) 776-0312.
- Who is the authorized official for Pine Ridge Dental, PLLC?
- The authorized official listed on Pine Ridge Dental, PLLC's NPPES record is Nick Sundiam, Credentialing Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pine Ridge Dental, PLLC's NPI active?
- Yes — Pine Ridge Dental, PLLC's NPI (1881404564) is active in the NPPES registry as of the last update on 2025-01-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.