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PROFESSIONAL DENTAL CARE OF NORTHERN NEW MEXICO II NPI 1982293189


NPI Information

NPI: 1982293189
Provider Name: PROFESSIONAL DENTAL CARE OF NORTHERN NEW MEXICO II
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
1337 GUSDORF RD STE A
TAOS, NM
ZIP 87571
Phone: (505) 751-9661
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PROFESSIONAL DENTAL CARE OF NORTHERN NEW MEXICO II is a general practice dentist in Taos, NM. The provider is 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. PROFESSIONAL DENTAL CARE OF NORTHERN NEW MEXICO II NPI is 1982293189. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1337 GUSDORF RD STE A
TAOS, NM
ZIP 87571-296
Phone: (505) 751-9661

The provider's authorized official is Cary Lacouture .
The authorized official title is Clinical Manager and has the following contact phone number (303) 521-5701.

The enumeration date for this NPI number is 1/12/2021 and was last updated on 1/12/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral PracticeYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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