person
Kelly Hendricks
Pediatric Dentist in Santa Fe, New Mexico
NPI 1457773384

Kelly Hendricks is a Pediatric Dentist based in Santa Fe, NM and is specialized in Pediatric Dentistry. Kelly Hendricks practices in Santa Fe, NM. The NPI Number for Kelly Hendricks is 1457773384 and holds a License No. D10994 (New Mexico).

The current practice location address for Kelly Hendricks is 1439 S Saint Francis Dr, Santa Fe, NM and can be reached out via phone at 505-473-5437.

Location: 1439 S Saint Francis Dr, Santa Fe, NM, 87505-4037
person
Provider Profile Details
NPI Number
1457773384
Provider Name
Kelly Hendricks
Credential
Provider Entity Type
Individual
Gender
Male
Address
1439 S Saint Francis Dr, Santa Fe, NM, 87505-4037
Phone Number
505-473-5437
Fax Number
Provider Enumeration Date
01/13/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1439 S Saint Francis Dr
City
State
Zip
87505
Phone Number
505-473-5437
Fax Number
person
Provider Business Mailing Address Details
Address
1439 S Saint Francis Dr
City
State
Zip
87505
Phone Number
505-473-5437
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
License No.
D10994 (Oregon)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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