Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Abq Modern Dental Group, LLC

Organization General Practice Dentistry · NPI 1326429622

Abq Modern Dental Group, LLC is a General Practice Dentistry in Albuquerque, New Mexico. Registered with an NPI since 2015.

In the registry since
2015
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

12611 Montgomery Blvd NE A-1
Albuquerque, NM 87111-4118
Phone: (505) 323-1004
Fax: (505) 323-4355
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X

Record details

NPI number1326429622
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kelley Hollingsworth Ryals — Owner Dentist · (505) 323-1004
Other names Abq Modern Dental Group
NPI enumeratedJune 11, 2015
Last updated in NPPESJune 11, 2015
Mailing address17000 Red Hill Ave, Irvine, CA 92614-5626

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