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ALBUQUERQUE MODERN DENTISTS
NPI 1780957969
Dentist - General Practice in Albuquerque, NM

Active since February 17, 2012
6810 MENAUL BLVD NE, SUITE B, ALBUQUERQUE, NM 87110(505) 872-1100(505) 872-0294 Get Directions Write a Review

NPPES record last updated: August 5, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Albuquerque Modern Dentists NPPES

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

ALBUQUERQUE MODERN DENTISTS (NPI 1780957969) is a healthcare organization registered as a general practice in Albuquerque, New Mexico and active in the NPI registry since February 2012. The organization lists Katie L Mccann, Owner, as its authorized official.

NPPES Registry Identity

NPI1780957969
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameALBUQUERQUE MODERN DENTISTS, LLC
Location Address6810 MENAUL BLVD NE, SUITE BAlbuquerque, NM 87110-3725
Mailing Address17000 Red Hill AveIrvine, CA 92614-5626 · (714) 845-8890 · Fax (949) 474-1495
Phone(505) 872-1100
Fax(505) 872-0294
Organization SubpartNo
Authorized OfficialKatie L MccannOwner · (505) 872-1100
Enumeration DateFebruary 17, 2012
Last NPPES UpdateAugust 5, 2014
✔ NPI 1780957969 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.
6810 MENAUL BLVD NE, Albuquerque, NM 87110
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Other Names 1

Doing Business AsAlbuquerque Modern Dentists

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.

NICHOLAS RAY BUTTON D.M.D.
Dentist (General Practice)
6810 MENAUL BLVD NE, SUITE B
ALBUQUERQUE, NM 87110
Bernalillo County (505) 872-4422

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 Dentists, LLC's NPI number?

The NPI number for Albuquerque Modern Dentists, LLC is 1780957969. It was assigned to this organization in the NPPES registry on February 17, 2012. The provider is doing business as Albuquerque Modern Dentists.

Where is Albuquerque Modern Dentists, LLC located?

Albuquerque Modern Dentists, LLC is located at 6810 Menaul Blvd NE Suite B, Albuquerque, NM 87110. The listed phone number is (505) 872-1100.

What is Albuquerque Modern Dentists, 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 Dentists, LLC was last updated on August 5, 2014. 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.