OrganizationActive
Abq Modern Dental Group, LLC
NPI 1326429622 · General Practice Dentistry · Albuquerque, NM
Provider details
- NPI number
- 1326429622
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Kelley Hollingsworth Ryals, Owner Dentist(505) 323-1004
Specialties & taxonomies
Dental Providers
Practice location
12611 Montgomery Blvd Ne
A-1
Albuquerque, NM 87111-4118
Phone: (505) 323-1004
Fax: (505) 323-4355
Approximate (ZIP-level) locationGet directions
Mailing address
17000 Red Hill Ave
Irvine, CA 92614-5626
Other names (DBA / former)
- Doing business as
- Abq Modern Dental Group
Registry dates
- Enumerated
- 2015-06-11
- Last updated
- 2015-06-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.