Organization · Type 2 NPI

Professional Dental Care of Northern New Mexico II

General Practice Dentistry · Taos, NM

NPI number 1982293189 Active

Practice location

1337 Gusdorf Rd Ste A
Taos, NM 87571-6296

Call (505) 751-9661 Map

Mailing address

10233 S Parker Rd Ste 107
Parker, CO 80134-9314

Specialties and licenses

Taxonomy	Code	License
General Practice Dentistry Primary	1223G0001X	None listed

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Other general practice dentistry providers in Taos

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NPI record

NPI: 1982293189
Entity type: Organization (Type 2)
Issued: Jan 12, 2021
Last updated: Jan 12, 2021
Status: Active
Subpart: Yes of Ssun Health, LLC

Other names

Northern New Mexico Center for Cosmetic Dentistry · doing business as

Authorized official

Cary Lacouture, DDS
Clinical Manager
(303) 521-5701

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1982293189

Professional Dental Care of Northern New Mexico II's National Provider Identifier is 1982293189, issued on Jan 12, 2021. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Taos, NM. The record was last updated on Jan 12, 2021.