Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. STEPHANIE ANN WAGNER KETHCART, DDS
Active Sole ProprietorDR. STEPHANIE ANN WAGNER KETHCART, DDS is a General Dentistry healthcare provider located in PHOENIX, Arizona. NPI 1508897406 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · PHOENIX, AZ
Registration Details
- NPI Number
- 1508897406
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 6, 2006 (20.103222492967 yrs)
- Last Updated
- Aug 10, 2019
- License
-
D6695 (AZ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1277 E MISSOURI AVE STE 102PHOENIX, AZ, 850142916Browse AZ providers · Browse ZIP 85014
- Phone
- 6028124326
- Fax
- 6028837252
- Primary Specialty
-
General Dentistry
1223G0001X
Other General Dentistry Providers in PHOENIX, AZ
| Name | Credential | NPI |
|---|---|---|
| DR. LISA TONI DAVIS KULP | D.M.D. | 1528064169 |
| DR. DAVID R. MOYER | D.D.S. | 1164429783 |
| DR. THOMAS MICHAEL MATTERN | D.D.S. | 1295732337 |
| RICHARD L SARAN | D.D.S. | 1356349070 |
| JAMES D. FALK | D.D.S. | 1659378438 |
| DR. ROBERT HARRIGAN | — | 1255323507 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.