Individual provider · Type 1 NPI
Kenneth Childress, DDS
General Practice Dentistry · Ruidoso, NM
NPI number
1912923475
Active
Practice location
721 Mechem Dr, Sierra Mall #5
Ruidoso, NM 88345-6911
Fax (575) 257-0249
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry | 1223G0001X | 8164 (CO) |
| General Practice Dentistry Primary | 1223G0001X | 2704 (NM) |
General Practice Dentistry: 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.
6 other providers at this address
- Immedicare Care Clinic PCFamily Medicine Physician Ruidoso, NM NPI 1942292149
- Kenneth W Childress DDS PCGeneral Practice Dentistry Ruidoso, NM NPI 1982913935
- Schramm Drug IncPharmacy Ruidoso, NM NPI 1104938117
- Amy Sayner-Flusche, PharmDPharmacotherapy Pharmacist Ruidoso, NM NPI 1811980089
- Sheri K. Schramm, RPHPharmacist Ruidoso, NM NPI 1740300888
- Valerie HoganPharmacist Ruidoso, NM NPI 1467996231
Other general practice dentistry providers in Ruidoso
About NPI 1912923475
Kenneth Childress, DDS's National Provider Identifier is 1912923475, issued on Jul 15, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Ruidoso, NM. The record was last updated on Apr 24, 2012.