Professional Dental Care Of Southern Nm I Pllc is a Dental Clinic in Portales, New Mexico. This organization is also known as sub part of Professional Dental Care Pllc. It is located at 123 W 2nd St, Portales, NM and its contact number is 575-448-8863. The authorized person for Professional Dental Care Of Southern Nm I Pllc is Cary Lacouture
who is Clinical Director of the clinic and their contact number is 303-521-5701.
Professional Dental Care Of Southern Nm I Pllc Clinic caters to patients of all ages for their dental care needs. Dentists at the clinic are responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Clinic Profile:
Professional Dental Care Of Southern Nm I Pllc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Professional Dental Care Of Southern Nm I Pllc |
| Specialization: | General Practice Dentistry |
| Clinic Address: | 123 W 2nd St, Portales, New Mexico, 88130-6201 |
| Phone: | 575-448-8863 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Cary Lacouture |
| Position: | Clinical Director |
| Contact Number: | 303-521-5701 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Professional Dental Care Of Southern Nm I Pllc clinic are as mentioned below.
| NPI Number: | 1306415955 |
| Parent Organization: | Professional Dental Care Pllc |
| NPI Enumeration Date: | 18 Jun, 2021 |
| NPI Last Update On: | 18 Jun, 2021 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Professional Dental Care Of Southern Nm I Pllc are as mentioned below.
| Specialization | License Number | State | Status | |
| General Practice | | | Primary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Professional Dental Care Of Southern Nm I Pllc 123 W 2nd St, Portales, New Mexico |
| Zip: | 88130-6201 |
| Phone Number: | 575-448-8863 |
Patients can reach Professional Dental Care Of Southern Nm I Pllc at
123 W 2nd St, Portales, New Mexico or can
call to book an appointment on 575-448-8863.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.