Kenneth Childress in Ruidoso - General Practice
Kenneth Childress - NPI 1912923475
Kenneth Childress is a General Practice in Ruidoso, New Mexico. Kenneth Childress practices all healthcare services and medical treatments related to General Practice. The NPI Number for Kenneth Childress is 1912923475. The last update date is 2012-04-24.
Kenneth Childress's current location address is 721 Mechem Dr, Ruidoso, New Mexico. You can contact this provider via phone number 5752570246 and fax number 5752570249. The mailing address for Kenneth Childress is 721 Mechem Dr, Ruidoso, New Mexico. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenneth Childress |
|---|---|
| Address | 721 Mechem Dr, Ruidoso, New Mexico |
| Phone Number | 5752570246 |
| Fax Number | 5752570249 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1912923475 |
|---|---|
| Provider Enumeration Date | 2006-07-15 |
| Last Updated Date | 2012-04-24 |
Provider Mailing Address Detail
| Address | 721 Mechem Dr |
|---|---|
| City | Ruidoso |
| State | New Mexico (NM) |
| Post Code | 883456911 |
| Phone Number | 5752570246 |
| Fax Number | 5752570249 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 8164 |
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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. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 88284751 | NM | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Kenneth Childress by the Centers for Medicare & Medicaid Services (CMS)?
The Kenneth Childress has been assigned the NPI (National Provider Identifier) 1912923475. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Kenneth Childress?
The Kenneth Childress is physically situated at 721 Mechem Dr, in the city of Ruidoso, state of NM, with the postal code 883456911.
What is Kenneth Childress's area of expertise and its corresponding taxonomy classification?
The Kenneth Childress's field of specialization is General Practice, and it falls under the taxonomy code 1223G0001X, which categorizes healthcare providers based on their areas of practice.
On what date did the Kenneth Childress receive the assignment of its 1912923475 from the Centers for Medicare & Medicaid Services?
The Kenneth Childress was issued its 1912923475 by the Centers for Medicare & Medicaid Services on 2006-07-15.
When was the Kenneth Childress's information last updated?
The Kenneth Childress's information was last updated on 2012-04-24.