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PROFESSIONAL DENTAL CARE OF NORTHERN NEW MEXICO I PROFESSIONAL
NPI 1457998106
Dentist - General Practice in Santa Fe, NM

Active since December 02, 2019
550B SAINT MICHAELS DR STE 2, SANTA FE, NM 87505(505) 471-7000 Get Directions Write a Review

NPPES record last updated: December 2, 2019. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Professional Dental Care Of Northern New Mexico I Professional NPPES

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

PROFESSIONAL DENTAL CARE OF NORTHERN NEW MEXICO I PROFESSIONAL (NPI 1457998106) is a healthcare organization registered as a general practice in Santa Fe, New Mexico and active in the NPI registry since December 2019. The organization lists Fred Anthony Lacourt, Chief Dental Officer, as its authorized official.

NPPES Registry Identity

NPI1457998106
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NamePROFESSIONAL DENTAL CARE OF NORTHERN NEW MEXICO I PROFESSIONAL
Location Address550B SAINT MICHAELS DR STE 2Santa Fe, NM 87505-7716
Mailing Address10940 S Parker RdParker, CO 80134-7440 · (515) 371-3782
Phone(505) 471-7000
Organization SubpartYesParent: Professional Dental Care Pllc
Authorized OfficialFred Anthony LacourtChief Dental Officer · (414) 303-7484
Enumeration DateDecember 2, 2019
✔ NPI 1457998106 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.
550B SAINT MICHAELS DR STE 2, Santa Fe, NM 87505
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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Other Providers at the Same Location NPPES

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

DR. JACQUELYN M GOMEZ-BARTEK D.D.S.
Dentist
550B SAINT MICHAELS DR STE 2, SANTA FE
SANTA FE, NM 87505
Santa Fe County (505) 471-7000

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 I Professional's NPI number?

The NPI number for Professional Dental Care Of Northern New Mexico I Professional is 1457998106. It was assigned to this organization in the NPPES registry on December 2, 2019.

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

Professional Dental Care Of Northern New Mexico I Professional is located at 550B Saint Michaels Dr Ste 2, Santa Fe, NM 87505. The listed phone number is (505) 471-7000.

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

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

What insurance does Professional Dental Care Of Northern New Mexico I Professional accept?

Health plans from UnitedHealthcare list Professional Dental Care Of Northern New Mexico I Professional as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Professional Dental Care Of Northern New Mexico I Professional was last updated on December 2, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.