PETER THOMPSON, DDS
NPI 1306415955
Dentist - General Practice in Portales, NM

Active since June 18, 2021
123 W 2ND ST, PORTALES, NM 88130(575) 448-8863 Get Directions Write a Review

NPPES record last updated: June 18, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Peter Thompson, Dds NPPES

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

PETER THOMPSON, DDS (NPI 1306415955) is a healthcare organization registered as a general practice in Portales, New Mexico and active in the NPI registry since June 2021. The organization lists Cary Lacouture, Clinical Director, as its authorized official.

NPPES Registry Identity

NPI1306415955
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NamePROFESSIONAL DENTAL CARE OF SOUTHERN NM I PLLC
Location Address123 W 2ND STPortales, NM 88130-6201
Mailing Address123 W 2nd StPortales, NM 88130-6201 · (575) 448-8863
Organization SubpartYesParent: Professional Dental Care Pllc
Authorized OfficialCary LacoutureClinical Director · (303) 521-5701
Enumeration DateJune 18, 2021
NPPES CertifiedJune 18, 2021
NPI 1306415955 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.
123 W 2ND ST, Portales, NM 88130

Other Names 1

Doing Business AsPeter Thompson, Dds

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 SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

Clinic/Center (Dental)
123 W 2ND ST
PORTALES, NM 88130
Dentist (General Practice)
123 W 2ND ST
PORTALES, NM 88130

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 Southern Nm I PLLC's NPI number?

The NPI number for Professional Dental Care Of Southern Nm I PLLC is 1306415955. It was assigned to this organization in the NPPES registry on June 18, 2021. The provider is doing business as Peter Thompson, Dds.

Where is Professional Dental Care Of Southern Nm I PLLC located?

Professional Dental Care Of Southern Nm I PLLC is located at 123 W 2nd St, Portales, NM 88130. The listed phone number is (575) 448-8863.

What is Professional Dental Care Of Southern Nm I PLLC'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 Southern Nm I PLLC was last updated on June 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.