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Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum Organization subpart

Tri Dental, LLC

General Practice Dentistry in Rio Rancho, NM · enumerated 2022 · authorized official Brenton Mason, Member.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1124779210

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Registry record

Entity type Organization (Type 2)
Legal business name Tri Dental, LLC
Parent organization Tri Dental, LLC
Practice address 2345 Southern Blvd Se Ste B1, Rio Rancho, NM, 87124
Phone (505) 892-0111
Enumeration date Jan 11, 2022
Last updated in NPPES Jan 11, 2022

Taxonomy & classification

1223G0001X General Practice Dentistry Dental Providers Primary

Authorized official

Name Brenton Mason
Title Member
Phone (505) 301-4267

Other identifiers

Identifier Type State Issuer
50284282 Medicaid NM -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Tri Dental, LLC?
The NPI for Tri Dental, LLC is 1124779210, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Tri Dental, LLC?
NPPES lists Brenton Mason (Member) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-01-11.