CENTRAL PHOENIX CENTER FOR TMJ, PAIN & SLEEP DISORDERS - NPI 1235641937

Q: What is Kethcart Sleep LLC's NPI number?

The NPI number for Kethcart Sleep LLC is 1235641937. It was assigned to this organization in the NPPES registry on November 2, 2017. The provider is doing business as Central Phoenix Center For Tmj, Pain & Sleep Disorders.

Q: What is Kethcart Sleep LLC's specialty?

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

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About Central Phoenix Center For Tmj, Pain & Sleep Disorders NPPES

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

CENTRAL PHOENIX CENTER FOR TMJ, PAIN & SLEEP DISORDERS (NPI 1235641937) is a healthcare organization registered as a general practice in Phoenix, Arizona and active in the NPI registry since November 2017. The organization lists Stephanie Wagner Kethcart, Managaing Member/dentist, as its authorized official.

NPPES Registry Identity

NPI1235641937

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameKETHCART SLEEP LLC

Location Address1277 E MISSOURI AVE STE 102Phoenix, AZ 85014-2916

Mailing Address1277 E Missouri Ave Ste 102Phoenix, AZ 85014-2916 · (602) 615-8516 · Fax (602) 883-7252

Phone(602) 615-8516

Fax(602) 883-7252

Organization SubpartNo

Authorized OfficialStephanie Wagner KethcartManagaing Member/dentist · (602) 615-8516

Enumeration DateNovember 2, 2017

Last NPPES UpdateJuly 13, 20206 updates tracked since enumeration

NPPES CertifiedJuly 13, 2020

✔ NPI 1235641937 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

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.

Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X · License D6695 (AZ)

1277 E MISSOURI AVE STE 102, Phoenix, AZ 85014

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Other Names 1

Doing Business AsCentral Phoenix Center For Tmj, Pain & Sleep Disorders

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 7

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

TREVOR PATIENCE PA-C

Physician Assistant (Medical)