| Kenneth Childress, DDS | |
|
721 Mechem Dr, Sierra Mall #5, Ruidoso, NM 88345-6911 | |
| (575) 257-0246 | |
| (575) 257-0249 |
| Full Name | Kenneth Childress |
|---|---|
| Gender | Male |
| Speciality | Dentist - General Practice |
| Location | 721 Mechem Dr, Ruidoso, New Mexico |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912923475 | NPI | - | NPPES |
| 88284751 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 8164 (Colorado) | Secondary |
| 1223G0001X | Dentist - General Practice | 2704 (New Mexico) | Primary |
| Mailing Address | Practice 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 |
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 |