Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mountain Ridge Dentistry

Organization Dental Clinic/Center · NPI 1720759228

Mountain Ridge Dentistry is a Dental Clinic/Center in Berthoud, Colorado. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

310 Mountain Ave
Berthoud, CO 80513-5004
Phone: (970) 528-0900
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X

Record details

NPI number1720759228
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Austin Deporter — Dentist, Owner · (970) 528-0900
NPI enumeratedSeptember 23, 2021
Last updated in NPPESSeptember 23, 2021
Certification dateSeptember 23, 2021
Mailing address310 Mountain Ave Po Box 1694, Po Box 1694, Berthoud, CO 80513

Other providers in Berthoud