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

Professional Dental Care of Southern Nm I PLLC

Organization General Practice Dentistry · NPI 1306415955

Professional Dental Care of Southern Nm I PLLC is a General Practice Dentistry in Portales, New Mexico. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

123 W 2nd St
Portales, NM 88130-6201
Phone: (575) 448-8863
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X

Record details

NPI number1306415955
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationProfessional Dental Care PLLC
Authorized official Cary Lacouture — Clinical Director · (303) 521-5701
Other names Peter Thompson, Dds
NPI enumeratedJune 18, 2021
Last updated in NPPESJune 18, 2021
Certification dateJune 18, 2021
Mailing address123 W 2nd St, Portales, NM 88130-6201

Other providers in Portales