# RIDGELINE FAMILY DENTISTRY PLLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619718327
- **Authorized official:** BRIAN L TUTTLE DDS (OWNER)
- **Authorized official phone:** (785) 236-1408

## Contact information

- **Practice address:** 11550 RIDGELINE DR UNIT 112, COLORADO SPRINGS, CO 80921-3953
- **Practice address phone:** (719) 344-8616
- **Mailing address:** 6240 WOODMEN PARK VW, COLORADO SPRINGS, CO 80923-2616
- **Mailing address phone:** (785) 236-1408

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 06/05/2024
- **Last updated:** 06/05/2024