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DR. STEPHANIE NICOLE WAGONER KIMBALL D.D.S.
NPI 1215160148
Dentist - General Practice in Madison, WI

Active since August 26, 2009
621 S PARK ST, MADISON, WI 53715(608) 251-3535 Get Directions Write a Review

NPPES record last updated: August 26, 2009. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Dr. Stephanie Nicole Wagoner Kimball D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. STEPHANIE NICOLE WAGONER KIMBALL D.D.S. (NPI 1215160148) is an individual general practice provider in Madison, Wisconsin, licensed in Wisconsin (6447-015) and active in the NPI registry since August 2009.

NPPES Registry Identity

NPI1215160148
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. STEPHANIE NICOLE WAGONER KIMBALLCredential: D.D.S.
Location Address621 S PARK STMadison, WI 53715-1827
Mailing Address621 S Park StMadison, WI 53715-1827 · (608) 251-3535
Phone(608) 251-3535
Sole ProprietorNo
Enumeration DateAugust 26, 2009
✔ NPI 1215160148 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in WI · 6447-015
Definition
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.
621 S PARK ST, Madison, WI 53715
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas.Insurance ›

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRIAN FICK D.D.S.
Dentist (General Practice)
621 S PARK ST
MADISON, WI 53715
Dane County (608) 251-3535
ROBERT LAW DDS
Dentist (General Practice)
621 S PARK ST
MADISON, WI 53715
Dane County (608) 251-3535

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stephanie Kimball's NPI number?

The NPI number for Stephanie Kimball is 1215160148. It was assigned to this individual provider in the NPPES registry on August 26, 2009.

Where is Stephanie Kimball located?

Stephanie Kimball practices at 621 S Park St, Madison, WI 53715. The listed phone number is (608) 251-3535.

What is Stephanie Kimball's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Stephanie Kimball accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Stephanie Kimball as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Stephanie Kimball was last updated on August 26, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.