Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KENNETH CHILDRESS, DDS
ActiveKENNETH CHILDRESS, DDS is a General Dentistry healthcare provider located in RUIDOSO, New Mexico. NPI 1912923475 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · RUIDOSO, NM
Registration Details
- NPI Number
- 1912923475
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 15, 2006 (20.060731559995 yrs)
- Last Updated
- Apr 24, 2012
- Licenses
-
8164 (CO)2704 (NM)
Practice Information
- Address
-
721 MECHEM DRSIERRA MALL #5RUIDOSO, NM, 883456911Browse NM providers · Browse ZIP 88345
- Phone
- 5752570246
- Fax
- 5752570249
- Primary Specialty
-
General Dentistry
1223G0001X
- Additional Specialty
- General Dentistry
Other General Dentistry Providers in RUIDOSO, NM
| Name | Credential | NPI |
|---|---|---|
| DR. PETER DYLAN MIDKIFF | D.D.S. | 1982797627 |
| DR. FELICIA YELENA FONTENOT | DDS | 1801171731 |
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.