PROFESSIONAL DENTAL CARE OF NORTHERN NEW MEXICO II
NPI 1982293189
Dentist - General Practice in Taos, NM

Active since January 12, 2021
1337 GUSDORF RD STE A, TAOS, NM 87571(505) 751-9661 Get Directions Write a Review

NPPES record last updated: January 12, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Professional Dental Care Of Northern New Mexico Ii NPPES

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

PROFESSIONAL DENTAL CARE OF NORTHERN NEW MEXICO II (NPI 1982293189), doing business as Northern New Mexico Center For Cosmetic Dentistry, is a healthcare organization registered as a general practice in Taos, 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

NPI1982293189
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NamePROFESSIONAL DENTAL CARE OF NORTHERN NEW MEXICO II
Location Address1337 GUSDORF RD STE ATaos, NM 87571-6296
Mailing Address10233 S Parker Rd Ste 107Parker, CO 80134-9314 · (303) 521-5701
Organization SubpartYesParent: Ssun Health, Llc
Authorized OfficialCary LacoutureClinical Manager · (303) 521-5701
Enumeration DateJanuary 12, 2021
NPPES CertifiedJanuary 12, 2021
NPI 1982293189 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.
1337 GUSDORF RD STE A, Taos, NM 87571

Other Names 1

Doing Business AsNorthern New Mexico Center For Cosmetic Dentistry

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

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 II's NPI number?

The NPI number for Professional Dental Care Of Northern New Mexico II is 1982293189. It was assigned to this organization in the NPPES registry on January 12, 2021. The provider is doing business as Northern New Mexico Center for Cosmetic Dentistry.

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

Professional Dental Care Of Northern New Mexico II is located at 1337 Gusdorf Rd Ste A, Taos, NM 87571. The listed phone number is (505) 751-9661.

What is Professional Dental Care Of Northern New Mexico II'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 II was last updated on January 12, 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.