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Kenneth W Childress DDS PC

NPI 1982913935ActiveOrganization· Dentist, General Practice· Ruidoso, NM

Dentist, General Practice in Ruidoso, New Mexico, registered in NPPES in September 2010. The authorized official on file is Kenneth Childress, DDS, President.

Overview

NPI1982913935
StatusActive
Entity typeOrganization
NPI issuedSep 24, 2010
Last updated in NPPESMar 14, 2012

Specialties and licenses

TaxonomyCodeLicenseState
Dentist, General Practice Primary1223G0001X2704NM

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other general dentists in Ruidoso

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