DR. JOHN MCKETHAN STEPHENSON DMD
NPI 1598775736
Dentist - Periodontics in Camden, SC

Active since August 09, 2006
402 DICEY FORD RD, STE E, CAMDEN, SC 29020(803) 425-1644(803) 425-1640 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. John Mckethan Stephenson Dmd NPPES

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

DR. JOHN MCKETHAN STEPHENSON DMD (NPI 1598775736) is an individual periodontics provider in Camden, South Carolina, licensed in South Carolina (288) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1598775736
Entity TypeIndividualMale
Primary Taxonomy1223P0300X
Provider Legal NameDR. JOHN MCKETHAN STEPHENSONCredential: DMD
Location Address402 DICEY FORD RD, STE ECamden, SC 29020
Mailing Address402 Dicey Ford Rd, Ste ECamden, SC 29020 · (803) 425-1644 · Fax (803) 425-1640
Fax(803) 425-1640
Sole ProprietorNo
Enumeration DateAugust 9, 2006
Last NPPES UpdateSeptember 11, 2025
NPI 1598775736 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License Licensed in SC · 288
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
Also ListedDentistTaxonomy 122300000X · License 1902 (SC)
402 DICEY FORD RD, Camden, SC 29020

Other Identifiers 1

MedicaidZ19025SC

Other Providers at the Same Location NPPES

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

Prosthetic/Orthotic Supplier
402 DICEY FORD RD
CAMDEN, SC 29020

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 John Stephenson's NPI number?

The NPI number for John Stephenson is 1598775736. It was assigned to this individual provider in the NPPES registry on August 9, 2006.

Where is John Stephenson located?

John Stephenson practices at 402 Dicey Ford Rd Ste E, Camden, SC 29020. The listed phone number is (803) 425-1644.

What is John Stephenson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

When was this NPI record last updated?

The NPPES record for John Stephenson was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.