Individual provider · Type 1 NPI

Stephanie Ann Wagner Kethcart, DDS

General Practice Dentistry · Phoenix, AZ

NPI number 1508897406 Active

Practice location

1277 E Missouri Ave Ste 102
Phoenix, AZ 85014-2916

Call (602) 812-4326 Map

Fax (602) 883-7252

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001XD6695 (AZ)

General Practice Dentistry: 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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About NPI 1508897406

Stephanie Ann Wagner Kethcart, DDS's National Provider Identifier is 1508897406, issued on Jul 6, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Phoenix, AZ. The record was last updated on Aug 10, 2019.