Kenneth W Childress Dds Pc is a Dental Clinic in Ruidoso, New Mexico. It is located at 721 Mechem Dr, Sierra Mall #5, Ruidoso, NM and its contact number is 575-257-0246. The authorized person for Kenneth W Childress Dds Pc is Kenneth Childress
who is President of the clinic and their contact number is 719-671-7369. The primary license number for Kenneth W Childress Dds Pc is 2704 (General Practice) in New Mexico.
Kenneth W Childress Dds Pc Clinic caters to patients of all ages for their dental care needs. Dentists at the clinic are responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Clinic Profile:
Kenneth W Childress Dds Pc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Kenneth W Childress Dds Pc |
| Specialization: | General Practice Dentistry |
| Clinic Address: | 721 Mechem Dr, Sierra Mall #5, Ruidoso,
New Mexico, 88345-6911 |
| Phone: | 575-257-0246 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Kenneth Childress |
| Position: | President |
| Contact Number: | 719-671-7369 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Kenneth W Childress Dds Pc clinic are as mentioned below.
| NPI Number: | 1982913935 |
| NPI Enumeration Date: | 24 Sep, 2010 |
| NPI Last Update On: | 14 Mar, 2012 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kenneth W Childress Dds Pc are as mentioned below.
| Specialization | License Number | State | Status | |
| General Practice | 2704 | New Mexico | Primary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Kenneth W Childress Dds Pc
721 Mechem Dr, Sierra Mall #5
Ruidoso, New Mexico |
| Zip: | 88345-6911 |
| Phone Number: | -- |
Patients can reach Kenneth W Childress Dds Pc at
721 Mechem Dr, Sierra Mall #5, Ruidoso, New Mexico or can
call to book an appointment on 575-257-0246.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.