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DR. STEPHANIE ANN WAGNER KETHCART DDS
NPI 1508897406
Dentist - General Practice in Phoenix, AZ

Active since July 06, 2006
1277 E MISSOURI AVE STE 102, PHOENIX, AZ 85014(602) 812-4326(602) 883-7252 Get Directions Write a Review

NPPES record last updated: August 10, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 10, 2019, Jun 4, 2019, Nov 28, 2018 (3 updates tracked since 2018).

About Dr. Stephanie Ann Wagner Kethcart Dds NPPES

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

DR. STEPHANIE ANN WAGNER KETHCART DDS (NPI 1508897406) is an individual general practice provider in Phoenix, Arizona, licensed in Arizona (D6695) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1508897406
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. STEPHANIE ANN WAGNER KETHCARTCredential: DDS
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) 812-4326
Fax(602) 883-7252
Sole ProprietorYes
Enumeration DateJuly 6, 2006
Last NPPES UpdateAugust 10, 20193 updates tracked since enumeration
✔ NPI 1508897406 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 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)
1277 E MISSOURI AVE STE 102
PHOENIX, AZ 85014
Maricopa County (480) 467-2273
KETHCART SLEEP LLC
Dentist (General Practice)
1277 E MISSOURI AVE STE 102
PHOENIX, AZ 85014
Maricopa County (602) 615-8516
KETHCART SMILES PLLC
Dentist (General Practice)
1277 E MISSOURI AVE STE 102
PHOENIX, AZ 85014
Maricopa County (602) 615-8516
BILTMORE PERIODONTICS, PLLC
Clinic/Center (Dental)
1277 E MISSOURI AVE STE 102
PHOENIX, AZ 85014
Maricopa County (480) 218-7590
INNOVATIVE PAIN AND WELLNESS PLC
Anesthesiology (Pain Medicine)
1277 E MISSOURI AVE STE 102
PHOENIX, AZ 85014
Maricopa County (480) 467-2273
JINA NAAIM
Physician Assistant
1277 E MISSOURI AVE STE 102
PHOENIX, AZ 85014
Maricopa County (480) 467-2273
CHRISTINE SAMIR HADDAD M.D., PHD
Pain Medicine (Pain Medicine)
1277 E MISSOURI AVE STE 102
PHOENIX, AZ 85014
Maricopa County (480) 991-3005

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 Wagner Kethcart's NPI number?

The NPI number for Stephanie Wagner Kethcart is 1508897406. It was assigned to this individual provider in the NPPES registry on July 6, 2006.

Where is Stephanie Wagner Kethcart located?

Stephanie Wagner Kethcart practices at 1277 E Missouri Ave Ste 102, Phoenix, AZ 85014. The listed phone number is (602) 812-4326.

What is Stephanie Wagner Kethcart's specialty?

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

When was this NPI record last updated?

The NPPES record for Stephanie Wagner Kethcart was last updated on August 10, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.