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