Kenneth Childress, DDS - Dentist in Ruidoso, NM

Kenneth Childress, DDS is a Dentist - General Practice based in Ruidoso, New Mexico. Kenneth Childress is licensed to practice in New Mexico (license number 2704) and his current practice location is 721 Mechem Dr, Sierra Mall #5, Ruidoso, New Mexico. He can be reached at his office (for appointments etc.) via phone at (575) 257-0246.

NPI number for Kenneth Childress is 1912923475 and his current mailing address is 721 Mechem Dr, Sierra Mall #5, Ruidoso, New Mexico. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1912923475.

Contact Information

Kenneth Childress, DDS
721 Mechem Dr, Sierra Mall #5,
Ruidoso, NM 88345-6911
(575) 257-0246
(575) 257-0249



Healthcare Provider's Profile

Full NameKenneth Childress
GenderMale
SpecialityDentist - General Practice
Location721 Mechem Dr, Ruidoso, New Mexico
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1912923475
  • Provider Enumeration Date: 07/15/2006
  • Last Update Date: 04/24/2012

Medical Identifiers

Medical identifiers for Kenneth Childress such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1912923475NPI-NPPES
88284751MedicaidNM

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223G0001XDentist - General Practice 8164 (Colorado)Secondary
1223G0001XDentist - General Practice 2704 (New Mexico)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kenneth Childress is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kenneth Childress, DDS
721 Mechem Dr, Sierra Mall #5,
Ruidoso, NM 88345-6911

Ph: (575) 257-0246
Kenneth Childress, DDS
721 Mechem Dr, Sierra Mall #5,
Ruidoso, NM 88345-6911

Ph: (575) 257-0246

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› Verified 2 days ago


Dentist in Ruidoso, NM

Dr. Sally Lutrick Waters, DMD
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 1098 Mechem Drive, Ruidoso, NM 88345
Phone: 505-258-3388    Fax: 505-258-4468
Dr. Taylor Austin Ladd, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 127 El Paso Rd, Ruidoso, NM 88345
Phone: 575-257-9053    Fax: 575-258-1194
Mr. Joseph Chock Tam Jr., D.D.S.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 200 Sudderth Drive, Suite C, Ruidoso, NM 88345
Phone: 505-257-5179    Fax: 505-257-5170
Brian Thomas Lu, D.D.S.
Dentist
Medicare: Medicare Enrolled
Practice Location: 200 Sudderth Dr Ste C, Ruidoso, NM 88345
Phone: 575-315-2996    
Dr. Felicia Yelena Fontenot, DDS
Dentist
Medicare: Medicare Enrolled
Practice Location: 127 El Paso Road, Ruidoso, NM 88345
Phone: 575-257-9053    
Dr. Peter Dylan Midkiff, D.D.S.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 700 Mechem Dr., Suite 8, Ruidoso, NM 88345
Phone: 505-257-1136    Fax: 505-257-0923

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