Abq Modern Dental Group

LBN: Abq Modern Dental Group, Llc
Abq Modern Dental Group is an health care organization with primary practice located at 12611 Montgomery Blvd Ne A-1, Albuquerque NM 87111-4118. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Abq Modern Dental Group, Llc can be contacted via phone (505) 323-1004, or through Hollingsworth Ryals, Kelley via phone (505) 323-1004.

Contact Information

Primary practice address
12611 Montgomery Blvd Ne A-1 Albuquerque NM 87111-4118
Phone: (505) 323-1004
Fax: (505) 323-4355
Website:
Map and Directions
Authorized official contact:
Name: Hollingsworth Ryals, Kelley Doctor of Dental Surgery (DDS)
Phone: (505) 323-1004

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X

Profile Details

NPI number 1326429622
LBN Legal business name Abq Modern Dental Group, Llc
DBA Doing business as Abq Modern Dental Group
Authorized official Hollingsworth Ryals, Kelley Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 11th, 2015
Last updated Jun 11th, 2015 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Popular Providers