Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Northern Nm Center for Cosmetic Dentistry Inc

Organization Dentist · NPI 1184157315

Northern Nm Center for Cosmetic Dentistry Inc provides Dentist services in Taos, New Mexico. Licensed in New Mexico. Registered with an NPI since 2017.

Licensed in
NM
In the registry since
2017
Specialties on file
4
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1337 Gusdorf Rd Ste A
Taos, NM 87571-6294
Phone: (575) 751-9661
Fax: (575) 751-9689
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence DD1953 (NM)
Endodontics Taxonomy 1223E0200X · Licence DD3454 (NM)
Oral and Maxillofacial Surgery (Dentist) Taxonomy 1223S0112X · Licence DD1576 (NM)
Oral and Maxillofacial Surgery (Dentist) Taxonomy 1223S0112X · Licence DD4507 (NM)

Record details

NPI number1184157315
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kellie Harris — President · (575) 751-9661
NPI enumeratedApril 5, 2017
Last updated in NPPESMay 4, 2017
Mailing address1337 Gusdorf Rd, Suite A, Taos, NM 87571-6294

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