Professional Dental Care of Southern Nm I PLLC
NPI 1306415955ActiveOrganization· Dentist, General Practice· Portales, NM
Dentist, General Practice in Portales, New Mexico, registered in NPPES in June 2021, part of Professional Dental Care PLLC. The authorized official on file is Cary Lacouture, DDS, Clinical Director.
Overview
| NPI | 1306415955 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Professional Dental Care PLLC |
| NPI issued | Jun 18, 2021 |
| Last updated in NPPES | Jun 18, 2021 |
| Certified by provider | Jun 18, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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