1. Home
  2. Directory
  3. New Mexico
  4. Las Vegas
  5. Dentist
  6. NPI Profile

PROFESSIONAL DENTAL CARE OF NORTHERN NEW MEXICO III
NPI 1033708235
Dentist - General Practice in Las Vegas, NM

Active since January 12, 2021
2500 7TH ST STE H, LAS VEGAS, NM 87701(505) 718-9156 Get Directions Write a Review

NPPES record last updated: January 12, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Professional Dental Care Of Northern New Mexico Iii NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PROFESSIONAL DENTAL CARE OF NORTHERN NEW MEXICO III (NPI 1033708235), doing business as Divine Dental Center, is a healthcare organization registered as a general practice in Las Vegas, New Mexico and active in the NPI registry since January 2021. The organization lists Cary Lacouture, Clinical Manager, as its authorized official.

NPPES Registry Identity

NPI1033708235
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NamePROFESSIONAL DENTAL CARE OF NORTHERN NEW MEXICO III
Location Address2500 7TH ST STE HLas Vegas, NM 87701-4947
Mailing Address10233 S Parker Rd Ste 107Parker, CO 80134-9314 · (303) 521-5701
Phone(505) 718-9156
Organization SubpartYesParent: Ssun Health, Llc
Authorized OfficialCary LacoutureClinical Manager · (303) 521-5701
Enumeration DateJanuary 12, 2021
NPPES CertifiedJanuary 12, 2021
✔ NPI 1033708235 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
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.
2500 7TH ST STE H, Las Vegas, NM 87701
Open in Google Maps ↗

Other Names 1

Doing Business AsDivine Dental Center

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BD LAS VEGAS LLC
Dentist
2500 7TH ST STE H
LAS VEGAS, NM 87701
San Miguel County (505) 454-8483

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Professional Dental Care Of Northern New Mexico III's NPI number?

The NPI number for Professional Dental Care Of Northern New Mexico III is 1033708235. It was assigned to this organization in the NPPES registry on January 12, 2021. The provider is doing business as Divine Dental Center.

Where is Professional Dental Care Of Northern New Mexico III located?

Professional Dental Care Of Northern New Mexico III is located at 2500 7th St Ste H, Las Vegas, NM 87701. The listed phone number is (505) 718-9156.

What is Professional Dental Care Of Northern New Mexico III's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Professional Dental Care Of Northern New Mexico III was last updated on January 12, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.