STEPHANIE KETHCART DDS SOLE MBR - NPI 1245680438

Q: What is Kethcart Smiles PLLC's NPI number?

The NPI number for Kethcart Smiles PLLC is 1245680438. It was assigned to this organization in the NPPES registry on June 17, 2016. The provider is also known as Stephanie Kethcart Dds Sole Mbr.

Q: What is Kethcart Smiles PLLC's specialty?

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

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About Stephanie Kethcart Dds Sole Mbr NPPES

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

STEPHANIE KETHCART DDS SOLE MBR (NPI 1245680438) is a healthcare organization registered as a general practice in Phoenix, Arizona and active in the NPI registry since June 2016. The organization maintains a secondary practice location in Phoenix and lists Stephanie Kethcart, Owner, as its authorized official.

NPPES Registry Identity

NPI1245680438

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameKETHCART SMILES PLLC

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 KethcartOwner · (602) 615-8516

Enumeration DateJune 17, 2016

Last NPPES UpdateAugust 10, 20192 updates tracked since enumeration

✔ NPI 1245680438 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in AZ · D6695

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.

1277 E MISSOURI AVE STE 102, Phoenix, AZ 85014

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Other Names 1

Other NameStephanie Kethcart Dds Sole Mbr

Secondary Practice Location 1

Location 1727 E Bethany Home Rd, #A100Phoenix, AZ 85014-2156 · Phone (602) 789-3799

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)