Individual provider · Type 1 NPI

Kelly Hendricks

Pediatric Dentistry · Santa Fe, NM

NPI number 1457773384 Active

Practice location

1439 S Saint Francis Dr
Santa Fe, NM 87505

Other practice locations

  • 1439 S Saint Francis Dr, Santa Fe, NM 87505 · (505) 473-5437

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry 1223P0221XD10994 (OR)
Pediatric Dentistry Primary 1223P0221XDD4219 (NM)

Pediatric Dentistry: 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.

3 other providers at this address

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About NPI 1457773384

Kelly Hendricks's National Provider Identifier is 1457773384, issued on Jan 13, 2014. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Santa Fe, NM. The record was last updated on May 2, 2019.