Organization
PROFESSIONAL DENTAL CARE OF NORTHERN NEW MEXICO I PROFESSIONAL
Active
Parent organization
PROFESSIONAL DENTAL CARE PLLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
PROFESSIONAL DENTAL CARE PLLC
Authorized official
DR. FRED ANTHONY LACOURT DDS (CHIEF DENTAL OFFICER)
(414) 303-7484
Entity
Organization
Contact information
Practice address
550B SAINT MICHAELS DR STE 2, SANTA FE, NM 87505-7716
(505) 471-7000
Mailing address
10940 S PARKER RD, PARKER, CO 80134-7440
(515) 371-3782
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/02/2019
Last updated
12/02/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us