Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kenneth W Childress DDS PC

Organization General Practice Dentistry · NPI 1982913935

Kenneth W Childress DDS PC is a General Practice Dentistry in Ruidoso, New Mexico. Licensed in New Mexico. Registered with an NPI since 2010.

Licensed in
NM
In the registry since
2010
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

721 Mechem Dr Sierra Mall #5
Ruidoso, NM 88345-6911
Phone: (575) 257-0246
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 2704 (NM)

Record details

NPI number1982913935
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kenneth Childress — President · (719) 671-7369
NPI enumeratedSeptember 24, 2010
Last updated in NPPESMarch 14, 2012
Mailing address721 Mechem Dr, Sierra Mall #5, Ruidoso, NM 88345-6911

Other providers in Ruidoso