Organization
MOUNTAIN SMILES, PLLC
Active
Parent organization
MOUNTAIN SMILES, PLLC
Other names
Pine Ridge Dental Group
Organization subpart
Yes
Provider details
NPI number
Legal business name
MOUNTAIN SMILES, PLLC
Authorized official
JENNY ORGANISTA (DIRECTOR OF RCM)
(917) 966-0422
Entity
Organization
Contact information
Practice address
541 MAIN ST, LONGMONT, CO 80501-5536
(903) 776-3030
Mailing address
541 MAIN ST, LONGMONT, CO 80501-5536
(903) 776-3030
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/27/2022
Last updated
12/27/2022
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