Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Northern Nm Center for Cosmetic Dentistry Inc

Organization Dentist · NPI 1184157315

Northern Nm Center for Cosmetic Dentistry Inc is a Dentist 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
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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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