Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELLY HENDRICKS
ActiveKELLY HENDRICKS is a Pediatric Dentistry healthcare provider located in SANTA FE, New Mexico. NPI 1457773384 is currently active in the NPPES registry. Verify at CMS.
Pediatric Dentistry · SANTA FE, NM
Registration Details
- NPI Number
- 1457773384
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 13, 2014 (12.557176671883 yrs)
- Last Updated
- May 2, 2019
- Licenses
-
D10994 (OR)DD4219 (NM)
Practice Information
- Address
-
1439 S SAINT FRANCIS DRSANTA FE, NM, 87505Browse NM providers · Browse ZIP 87505
- Phone
- 5054735437
- Primary Specialty
-
Pediatric Dentistry
1223P0221X
- Additional Specialty
- Pediatric Dentistry
Other Pediatric Dentistry Providers in SANTA FE, NM
| Name | Credential | NPI |
|---|---|---|
| DR. ELIZABETH T PRISHKULNIK | DDS | 1306834676 |
| DR. JEFFREY WADE HUMBERSON | D.D.S. | 1487642641 |
| DR. PATRICIA PECK | DDS | 1760400998 |
| DANIEL A BORRERO | D.D.S. | 1043401268 |
| DR. MICHAEL MASON | — | 1760653265 |
| DR. KRISTIN WAYNE HENDRICKS | DDS | 1023320165 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.