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KENNETH W CHILDRESS DDS PC
NPI 1982913935
Dentist - General Practice in Ruidoso, NM

Active since September 24, 2010
721 MECHEM DR, SIERRA MALL #5, RUIDOSO, NM 88345(575) 257-0246 Get Directions Write a Review

NPPES record last updated: March 14, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kenneth W Childress Dds Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KENNETH W CHILDRESS DDS PC (NPI 1982913935) is a healthcare organization registered as a general practice in Ruidoso, New Mexico and active in the NPI registry since September 2010. The organization lists Kenneth Childress, President, as its authorized official.

NPPES Registry Identity

NPI1982913935
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameKENNETH W CHILDRESS DDS PC
Location Address721 MECHEM DR, SIERRA MALL #5Ruidoso, NM 88345-6911
Mailing Address721 Mechem Dr, Sierra Mall #5Ruidoso, NM 88345-6911
Phone(575) 257-0246
Organization SubpartNo
Authorized OfficialKenneth ChildressPresident · (719) 671-7369
Enumeration DateSeptember 24, 2010
Last NPPES UpdateMarch 14, 2012
✔ NPI 1982913935 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in NM · 2704
Definition
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.
721 MECHEM DR, Ruidoso, NM 88345
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SCHRAMM DRUG INC
Pharmacy
721 MECHEM DR
RUIDOSO, NM 88345
Lincoln County (505) 257-3882
VALERIE HOGAN
Pharmacist
721 MECHEM DR
RUIDOSO, NM 88345
Lincoln County (575) 257-4014
SHERI K SCHRAMM RPH
Pharmacist
721 MECHEM DR, LONG'S PHARMACY AND GIFTS
RUIDOSO, NM 88345
Lincoln County (505) 257-3882
DR. AMY SAYNER-FLUSCHE PHARM.D.
Pharmacist (Pharmacotherapy)
721 MECHEM DR
RUIDOSO, NM 88345
Lincoln County (505) 257-3882
KENNETH CHILDRESS DDS
Dentist (General Practice)
721 MECHEM DR, SIERRA MALL #5
RUIDOSO, NM 88345
Lincoln County (575) 257-0246
IMMEDICARE CARE CLINIC PC
Family Medicine
721 MECHEM DR, SIERRA MALL
RUIDOSO, NM 88345
Lincoln County (505) 630-5300

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kenneth W Childress Dds PC's NPI number?

The NPI number for Kenneth W Childress Dds PC is 1982913935. It was assigned to this organization in the NPPES registry on September 24, 2010.

Where is Kenneth W Childress Dds PC located?

Kenneth W Childress Dds PC is located at 721 Mechem Dr Sierra Mall #5, Ruidoso, NM 88345. The listed phone number is (575) 257-0246.

What is Kenneth W Childress Dds PC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Kenneth W Childress Dds PC was last updated on March 14, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.