SANTA FE MODERN DENTISTRY AND ORTHODONTICS
NPI 1689950008
Dentist - General Practice in Santa Fe, NM

Q: What is Santa Fe Modern Dentistry And Orthodontics, LLC's specialty?

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

Active since October 31, 2011

3569 ZAFARANO BOULEVARD, SANTA FE, NM 87507(505) 986-8000(505) 982-0374 Get Directions Write a Review

NPPES record last updated: December 31, 2013. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Santa Fe Modern Dentistry And Orthodontics NPPES

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

SANTA FE MODERN DENTISTRY AND ORTHODONTICS (NPI 1689950008) is a healthcare organization registered as a general practice in Santa Fe, New Mexico and active in the NPI registry since October 2011. The organization lists Kelley Hollingsworth Ryals, Owner Doctor, as its authorized official.

NPPES Registry Identity

NPI1689950008

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameSANTA FE MODERN DENTISTRY AND ORTHODONTICS, LLC

Location Address3569 ZAFARANO BOULEVARDSanta Fe, NM 87507

Mailing Address17000 Red Hill AveIrvine, CA 92614-5626 · (714) 845-8890 · Fax (949) 474-1495

Phone(505) 986-8000

Fax(505) 982-0374

Organization SubpartNo

Authorized OfficialKelley Hollingsworth RyalsOwner Doctor · (505) 986-8000

Enumeration DateOctober 31, 2011

Last NPPES UpdateDecember 31, 2013

✔ NPI 1689950008 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.

3569 ZAFARANO BOULEVARD, Santa Fe, NM 87507

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Other Names 1

Doing Business AsSanta Fe Modern Dentistry And Orthodontics

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 Santa Fe Modern Dentistry And Orthodontics, LLC's NPI number?

The NPI number for Santa Fe Modern Dentistry And Orthodontics, LLC is 1689950008. It was assigned to this organization in the NPPES registry on October 31, 2011. The provider is doing business as Santa Fe Modern Dentistry And Orthodontics.

Where is Santa Fe Modern Dentistry And Orthodontics, LLC located?

Santa Fe Modern Dentistry And Orthodontics, LLC is located at 3569 Zafarano Boulevard, Santa Fe, NM 87507. The listed phone number is (505) 986-8000.

What is Santa Fe Modern Dentistry And Orthodontics, 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 Santa Fe Modern Dentistry And Orthodontics, LLC was last updated on December 31, 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.