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

Professional Dental Care of Northern New Mexico I Professional

Organization General Practice Dentistry · NPI 1457998106

Professional Dental Care of Northern New Mexico I Professional provides General Practice Dentistry in Santa Fe, New Mexico. Registered with an NPI since 2019.

In the registry since
2019

Practice location Address checks out

550B Saint Michaels Dr Ste 2
Santa Fe, NM 87505-7716
Phone: (505) 471-7000
Show map & directions

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

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X

Record details

NPI number1457998106
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationProfessional Dental Care PLLC
Authorized official Fred Lacourt — Chief Dental Officer · (414) 303-7484
NPI enumeratedDecember 2, 2019
Last updated in NPPESDecember 2, 2019
Mailing address10940 S Parker Rd, Parker, CO 80134-7440

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