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

Abq Modern Dental Group, LLC

Organization General Practice Dentistry · NPI 1326429622

Abq Modern Dental Group, LLC provides 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.

See every abbreviation used in this directory →

Practice location Address checks out

12611 Montgomery Blvd NE A-1
Albuquerque, NM 87111-4118 Not confirmed with CMS for 11 years — call before visiting
Phone: (505) 323-1004
Fax: (505) 323-4355
Show map & directions

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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