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:
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. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.