OrganizationActive
Abq Modern Dental Group, LLC
NPI 1326429622 · General Practice Dentistry · Albuquerque, NM
Abq Modern Dental Group, LLC is a General Practice Dentistry organization in Albuquerque, NM (NPI 1326429622).
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
Profile Score
Established profile(74/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
12611 Montgomery Blvd Ne
A-1
Albuquerque, NM 87111-4118
Phone: (505) 323-1004
Fax: (505) 323-4355
Street-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
Frequently asked questions
- What is Abq Modern Dental Group, LLC's NPI number?
- Abq Modern Dental Group, LLC's National Provider Identifier (NPI) is 1326429622, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Abq Modern Dental Group, LLC?
- Abq Modern Dental Group, LLC is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Abq Modern Dental Group, LLC located?
- Abq Modern Dental Group, LLC's practice location on file with NPPES is 12611 Montgomery Blvd Ne, Albuquerque, NM 87111-4118.
- What is Abq Modern Dental Group, LLC's phone number?
- The practice phone number listed in the NPPES registry for Abq Modern Dental Group, LLC is (505) 323-1004.
- Who is the authorized official for Abq Modern Dental Group, LLC?
- The authorized official listed on Abq Modern Dental Group, LLC's NPPES record is Kelley Hollingsworth Ryals, Owner Dentist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Abq Modern Dental Group, LLC's NPI active?
- Yes — Abq Modern Dental Group, LLC's NPI (1326429622) is active in the NPPES registry as of the last update on 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.