Kenneth Childress is a Ruidoso, New Mexico based Dentist who is specialized in
General Practice Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Kenneth Childress is
2704 for General Practice Dentistry in New Mexico. His current practice location is
721 Mechem Dr, Sierra Mall #5, Ruidoso. Patients can reach him at
575-257-0246.
Kenneth Childress is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Kenneth Childress speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Kenneth Childress |
| Specialization: | Dentist |
| Gender: | Male |
| Credentials: | DDS |
| Accepts Medicare Assignment: | No |
| Practice Address: | 721 Mechem Dr, Sierra Mall #5, Ruidoso,
New Mexico, 88345-6911 |
| Phone: | 575-257-0246 |
| Fax: | 575-257-0249 |
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 are as mentioned below.
| NPI Number: | 1912923475 |
| NPI Enumeration Date: | 15 Jul, 2006 |
| NPI Last Update On: | 24 Apr, 2012 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kenneth Childress are as mentioned below.
| License Number | Specialization | State | Status | |
| 2704 | General Practice Dentistry | New Mexico | Primary | |
| 8164 | General Practice Dentistry | Colorado | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Kenneth Childress such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 88284751 | Medicaid | New Mexico | |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 721 Mechem Dr, Sierra Mall #5
Ruidoso, New Mexico |
| Zip: | 88345-6911 |
| Phone Number: | 575-257-0246 |
| Fax Number: | 575-257-0249 |
Patients can reach Kenneth Childress 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.