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SONJA MARIE KETCHERSIDE RDH
NPI 1821922196
Dental Hygienist in Saint Louis, MO

Active since June 10, 2026
1500 PARK AVE, SAINT LOUIS, MO 63104(866) 626-2878 Get Directions Write a Review

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

About Sonja Marie Ketcherside Rdh NPPES

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

SONJA MARIE KETCHERSIDE RDH (NPI 1821922196) is an individual dental hygienist in Saint Louis, Missouri, licensed in Missouri (003119) and active in the NPI registry since June 2026.

NPPES Registry Identity

NPI1821922196
Entity TypeIndividualFemale
Primary Taxonomy124Q00000X
Provider Legal NameSONJA MARIE KETCHERSIDECredential: RDH
Location Address1500 PARK AVESaint Louis, MO 63104-3024
Mailing Address461 Ivywood DrBallwin, MO 63011-2613
Phone(866) 626-2878
Sole ProprietorNo
Enumeration DateJune 10, 2026
NPPES CertifiedJune 10, 2026
✔ NPI 1821922196 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDental HygienistDental Providers
Taxonomy Code124Q00000X
License✔ Licensed in MO · 003119
Definition

An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary.

1500 PARK AVE, Saint Louis, MO 63104
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Other Providers at the Same Location NPPES 20

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

YASMEEN FATIMA
Student in an Organized Health Care Education/Training Program
1500 PARK AVE
SAINT LOUIS, MO 63104
St. Louis City (314) 814-8700
CADEN HEATON
Student in an Organized Health Care Education/Training Program
1500 PARK AVE
SAINT LOUIS, MO 63104
St. Louis City (801) 603-1633
KATHERINE GRACE RUDDELL
Student in an Organized Health Care Education/Training Program
1500 PARK AVE
SAINT LOUIS, MO 63104
St. Louis City (314) 252-8429
IQRA AZFAR
Student in an Organized Health Care Education/Training Program
1500 PARK AVE
SAINT LOUIS, MO 63104
St. Louis City (866) 626-2878
JAMIL SEIDU
Student in an Organized Health Care Education/Training Program
1500 PARK AVE
SAINT LOUIS, MO 63104
St. Louis City (314) 833-2700
ABRAHAM A. HARAKE
Student in an Organized Health Care Education/Training Program
1500 PARK AVE
SAINT LOUIS, MO 63104
St. Louis City (734) 666-8281
FAISAL KHAN
Student in an Organized Health Care Education/Training Program
1500 PARK AVE
SAINT LOUIS, MO 63104
St. Louis City (314) 833-2700
DAKSH DESAI
Counselor (Addiction (Substance Use Disorder))
1500 PARK AVE
SAINT LOUIS, MO 63104
St. Louis City (314) 833-2700

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 Sonja Ketcherside's NPI number?

The NPI number for Sonja Ketcherside is 1821922196. It was assigned to this individual provider in the NPPES registry on June 10, 2026.

Where is Sonja Ketcherside located?

Sonja Ketcherside practices at 1500 Park Ave, Saint Louis, MO 63104. The listed phone number is (866) 626-2878.

What is Sonja Ketcherside's specialty?

The primary specialty registered for this NPI is Dental Hygienist with taxonomy code 124Q00000X.

When was this NPI record last updated?

The NPPES record for Sonja Ketcherside was last updated on June 10, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.