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Kelly Hendricks — NPI 1457773384, Santa Fe, NM | NPI Central

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NPI 1457773384

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Kelly Hendricks

NPI 1457773384 · Pediatric Dentistry · Santa Fe, NM

Provider details

NPI number: 1457773384
Entity type: Individual
Primary specialty: Pediatric DentistryDental Providers
Sex: Male
Sole proprietor: No
License: D10994 (OR)

Specialties & taxonomies

Pediatric DentistryPrimary1223P0221XLicense DD4219 (NM)
Dental Providers
Pediatric Dentistry1223P0221XLicense D10994 (OR)
Dental Providers

Practice location

1439 S Saint Francis Dr

Santa Fe, NM 87505

Phone: (505) 473-5437

Approximate (ZIP-level) locationGet directions

More NM providers

Mailing address

1439 S Saint Francis Dr

Santa Fe, NM 87505-4037

Additional practice locations (1)

1439 S Saint Francis Dr
Santa Fe, NM 87505
Phone: (505) 473-5437

Registry dates

Enumerated: 2014-01-13
Last updated: 2019-05-02

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.