Individual provider · Type 1 NPI

Sonja Marie Ketcherside, RDH

Dental Hygienist · St. Louis, MO

NPI number 1821922196 Active

Practice location

1500 Park Ave
St. Louis, MO 63104-3024

Call (866) 626-2878 Map

Mailing address

461 Ivywood Dr
Ballwin, MO 63011-2613

Specialties and licenses

TaxonomyCodeLicense
Dental Hygienist Primary 124Q00000X003119 (MO)

Dental Hygienist: An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and…

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About NPI 1821922196

Sonja Marie Ketcherside, RDH's National Provider Identifier is 1821922196, issued on Jun 10, 2026. The primary taxonomy on file is Dental Hygienist (124Q00000X), and the practice location is in St. Louis, MO. The record was last updated on Jun 10, 2026.