Dr. Frank Burton Childress, DDS
Dentist, General Practice in Pueblo, CO. Individual provider (NPI-1).
NPI number1811022189
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1811022189
- Entity type
- Individual (NPI-1)
- Name
- Dr. Frank Burton Childress
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 23, 2007
- Last updated
- Jul 8, 2007
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 3258 | CO | Yes |
Other names
- Frank B Childress (Other Name)
Practice location
1407 W 29th StPueblo, CO 81008
Phone 719-639-6448
Mailing address
2530 Greenwood StPueblo, CO 81003
Phone 719-542-0525
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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