Mountain Ridge Dental – Dental Clinic/Center, NPI 1417240888

Mountain Ridge Dental is a healthcare provider. based in Orem, Utah. specializing in Dental Clinic/Center. The organization holds a License No. 7692415-9922 (UT). The NPI Number for Mountain Ridge Dental is 1417240888

Main info

Organization
Name
Mountain Ridge Dental
NPI
1417240888
Phone
(801) 224-7182
Address
1256 S STATE ST
Authorized Official
DR. JOHN GREEN OWNER, DOCTOR DMD
Enumeration Date
18 May 2011
Last Update Date
18 May 2011
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness80
Years active:15State licenses:1Digital endpointsUpdated within 12 months

Provider Addresses for Mountain Ridge Dental

  • 1256 S STATE ST

    SUITE 103

    OREM, UT 840978237

    Phone: (801) 224-7182

    Fax: (801) 235-0835

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 84097)

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Reviews

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Frequently asked questions

What number should I use to identify Mountain Ridge Dental for billing?
Administrative and clinical systems typically use NPI 1417240888 for Mountain Ridge Dental.
Is Mountain Ridge Dental's NPI status active today?
Active status means Mountain Ridge Dental's NPI record is not deactivated in the public file.
How should patients interpret Mountain Ridge Dental's specialty?
The extract shows Dental Clinic/Center for Mountain Ridge Dental. Clinical services aligned with this taxonomy classification.
What geographic area is tied to Mountain Ridge Dental?
Mountain Ridge Dental is associated with Orem, Utah in the same public data insurers reference.
Why is information missing for Mountain Ridge Dental?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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