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ABQ MODERN DENTAL GROUP
NPI 1326429622
Dentist - General Practice in Albuquerque, NM

Active since June 11, 2015
12611 MONTGOMERY BLVD NE, A-1, ALBUQUERQUE, NM 87111(505) 323-1004(505) 323-4355 Get Directions Write a Review

NPPES record last updated: June 11, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Abq Modern Dental Group NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ABQ MODERN DENTAL GROUP (NPI 1326429622) is a healthcare organization registered as a general practice in Albuquerque, New Mexico and active in the NPI registry since June 2015. The organization lists Kelley Hollingsworth Ryals, Owner Dentist, as its authorized official.

NPPES Registry Identity

NPI1326429622
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameABQ MODERN DENTAL GROUP, LLC
Location Address12611 MONTGOMERY BLVD NE, A-1Albuquerque, NM 87111-4118
Mailing Address17000 Red Hill AveIrvine, CA 92614-5626 · (714) 845-8890 · Fax (949) 474-1495
Phone(505) 323-1004
Fax(505) 323-4355
Organization SubpartNo
Authorized OfficialKelley Hollingsworth RyalsOwner Dentist · (505) 323-1004
Enumeration DateJune 11, 2015
✔ NPI 1326429622 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
12611 MONTGOMERY BLVD NE, Albuquerque, NM 87111
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Other Names 1

Doing Business AsAbq Modern Dental Group

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. BRENDAN ANDREW SCHLEYER DDS, MS
Dentist (Periodontics)
12611 MONTGOMERY BLVD NE, SUITE A-1
ALBUQUERQUE, NM 87111
Bernalillo County (505) 463-2189

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Abq Modern Dental Group, LLC's NPI number?

The NPI number for Abq Modern Dental Group, LLC is 1326429622. It was assigned to this organization in the NPPES registry on June 11, 2015. The provider is doing business as Abq Modern Dental Group.

Where is Abq Modern Dental Group, LLC located?

Abq Modern Dental Group, LLC is located at 12611 Montgomery Blvd NE A-1, Albuquerque, NM 87111. The listed phone number is (505) 323-1004.

What is Abq Modern Dental Group, LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Abq Modern Dental Group, LLC was last updated on June 11, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.