Professional Dental Care of Northern New Mexico III
NPI 1033708235 · General Practice Dentistry · Las Vegas, NM
Professional Dental Care of Northern New Mexico III is a General Practice Dentistry organization in Las Vegas, NM (NPI 1033708235).
Provider details
- NPI number
- 1033708235
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Parent organization
- Ssun Health, LLC
- Organization subpart
- Yes
- Authorized official
- Cary Lacouture, Clinical Manager(303) 521-5701
Specialties & taxonomies
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Divine Dental Center
Registry dates
- Enumerated
- 2021-01-12
- Last updated
- 2021-01-12
- Certified
- 2021-01-12
Frequently asked questions
- What is Professional Dental Care of Northern New Mexico III's NPI number?
- Professional Dental Care of Northern New Mexico III's National Provider Identifier (NPI) is 1033708235, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Professional Dental Care of Northern New Mexico III?
- Professional Dental Care of Northern New Mexico III is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Professional Dental Care of Northern New Mexico III located?
- Professional Dental Care of Northern New Mexico III's practice location on file with NPPES is 2500 7th St Ste H, Las Vegas, NM 87701-4947.
- What is Professional Dental Care of Northern New Mexico III's phone number?
- The practice phone number listed in the NPPES registry for Professional Dental Care of Northern New Mexico III is (505) 718-9156.
- Who is the authorized official for Professional Dental Care of Northern New Mexico III?
- The authorized official listed on Professional Dental Care of Northern New Mexico III's NPPES record is Cary Lacouture, Clinical Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Professional Dental Care of Northern New Mexico III's NPI active?
- Yes — Professional Dental Care of Northern New Mexico III's NPI (1033708235) is active in the NPPES registry as of the last update on 2021-01-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.