Tri Dental, Llc

LBN: Tri Dental, Llc
Tri Dental, Llc is an health care organization with primary practice located at 2345 Southern Blvd Se Ste B1 , Rio Rancho NM 87124-3761. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Tri Dental, Llc can be contacted via phone (505) 892-0111, or through Mason, Brenton via phone (505) 301-4267.

Contact Information

Primary practice address
2345 Southern Blvd Se Ste B1 Rio Rancho NM 87124-3761
Phone: (505) 892-0111
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Mason, Brenton Doctor of Dental Medicine (DMD)
Phone: (505) 301-4267

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X

Profile Details

NPI number 1124779210
LBN Legal business name Tri Dental, Llc
DBA Doing business as
Authorized official Mason, Brenton Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 Yes
Enumeration date Jan 11th, 2022
Last updated Jan 11th, 2022 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124779210 NPPES
New Mexico MEDICAID 50284282

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