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ALBUQUERQUE MODERN DENTISTRY
NPI 1487953790
Dentist - General Practice in Albuquerque, NM

Active since March 25, 2011
2800- A COORS BLVD NW, ALBUQUERQUE, NM 87120(505) 352-1166(505) 352-2805 Get Directions Write a Review

NPPES record last updated: November 18, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Albuquerque Modern Dentistry NPPES

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

ALBUQUERQUE MODERN DENTISTRY (NPI 1487953790) is a healthcare organization registered as a general practice in Albuquerque, New Mexico and active in the NPI registry since March 2011. The organization lists Mario Herrejon-ruiz, Owner Doctor, as its authorized official.

NPPES Registry Identity

NPI1487953790
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameALBUQUERQUE MODERN DENTISTRY, LLC
Location Address2800- A COORS BLVD NWAlbuquerque, NM 87120-1204
Mailing Address17000 Red Hill AveIrvine, CA 92614-5626 · (714) 845-8890 · Fax (949) 474-1495
Phone(505) 352-1166
Fax(505) 352-2805
Organization SubpartNo
Authorized OfficialMario Herrejon-ruizOwner Doctor · (505) 352-1166
Enumeration DateMarch 25, 2011
Last NPPES UpdateNovember 18, 2013
✔ NPI 1487953790 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.
2800- A COORS BLVD NW, Albuquerque, NM 87120
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Other Names 1

Doing Business AsAlbuquerque Modern Dentistry

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

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 Albuquerque Modern Dentistry, LLC's NPI number?

The NPI number for Albuquerque Modern Dentistry, LLC is 1487953790. It was assigned to this organization in the NPPES registry on March 25, 2011. The provider is doing business as Albuquerque Modern Dentistry.

Where is Albuquerque Modern Dentistry, LLC located?

Albuquerque Modern Dentistry, LLC is located at 2800- A Coors Blvd NW, Albuquerque, NM 87120. The listed phone number is (505) 352-1166.

What is Albuquerque Modern Dentistry, 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 Albuquerque Modern Dentistry, LLC was last updated on November 18, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.