Tri Dental, LLC
NPI 1124779210ActiveOrganization· Dentist, General Practice· Rio Rancho, NM
Dentist, General Practice in Rio Rancho, New Mexico, registered in NPPES in January 2022, part of Tri Dental, LLC. The authorized official on file is Brenton Mason, DMD, Member.
Overview
| NPI | 1124779210 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Tri Dental, LLC |
| NPI issued | Jan 11, 2022 |
| Last updated in NPPES | Jan 11, 2022 |
| Certified by provider | Jan 11, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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