Professional Dental Care of Northern New Mexico I Professional
NPI 1457998106ActiveOrganization· Dentist, General Practice· Santa Fe, NM
Dentist, General Practice in Santa Fe, New Mexico, registered in NPPES in December 2019, part of Professional Dental Care PLLC. The authorized official on file is Fred Anthony Lacourt, DDS, Chief Dental Officer.
Overview
| NPI | 1457998106 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Professional Dental Care PLLC |
| NPI issued | Dec 2, 2019 |
| Last updated in NPPES | Dec 2, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 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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