person
Kenneth Childress, DDS
General Practice Dentistry in Ruidoso, New Mexico
NPI 1912923475

Kenneth Childress is a General Practice Dentistry based in Ruidoso, NM and is specialized in General Practice. Kenneth Childress practices in Ruidoso, NM and has the professional credentials of DDS. The NPI Number for Kenneth Childress is 1912923475 and holds a License No. 8164 (New Mexico).

The current practice location address for Kenneth Childress is 721 Mechem Dr, Ruidoso, NM and can be reached out via phone at 575-257-0246 and via fax at 575-257-0249. You can also correspond with Kenneth Childress through the mailing address at 721 MECHEM DR, RUIDOSO, NM - 88345-6911 (mailing address contact number: 575-257-0246).

Location: 721 Mechem Dr, Ruidoso, NM, 88345-6911
person
Provider Profile Details
NPI Number
1912923475
Provider Name
Kenneth Childress
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
721 Mechem Dr, Ruidoso, NM, 88345-6911
Phone Number
575-257-0246
Fax Number
575-257-0249
Provider Enumeration Date
07/15/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
88284751 05 NM
institution
Provider Business Practice Location Address Details
Address
721 Mechem Dr
City
State
Zip
88345-6911
Phone Number
575-257-0246
Fax Number
575-257-0249
person
Provider Business Mailing Address Details
Address
721 Mechem Dr
City
State
Zip
88345-6911
Phone Number
575-257-0246
Fax Number
575-257-0249
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
License No.
8164 (Colorado)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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