OrganizationActive
505 Dental LLC
NPI 1710404504 · General Practice Dentistry · Albuquerque, NM
Provider details
- NPI number
- 1710404504
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Jonah Foutz, Owner/Ceo(505) 395-6240
- License
- DDS662 (NM)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(69/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 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
2901 Juan Tabo Blvd Ne Ste 10
Albuquerque, NM 87112-1885
Phone: (505) 395-6240
Fax: (505) 214-5132
Street-level locationGet directions
Mailing address
2901 Juan Tabo Blvd Ne Ste 10
Albuquerque, NM 87112-1885
Other names (DBA / former)
- Doing business as
- American Institute of Dental Assisting
Registry dates
- Enumerated
- 2017-08-23
- Last updated
- 2022-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.