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Stephanie Wagner Kethcart, DDS
NPI 1508897406 · General Practice Dentistry · Phoenix, AZ
Stephanie Wagner Kethcart, DDS is a General Practice Dentistry provider in Phoenix, AZ (NPI 1508897406).
Provider details
- NPI number
- 1508897406
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DDS
- Sex
- Female
- Sole proprietor
- Yes
- License
- D6695 (AZ)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1277 E Missouri Ave Ste 102
Phoenix, AZ 85014-2916
Phone: (602) 812-4326
Fax: (602) 883-7252
Street-level locationGet directions
Mailing address
1277 E Missouri Ave Ste 102
Phoenix, AZ 85014-2916
Registry dates
- Enumerated
- 2006-07-06
- Last updated
- 2019-08-10
Frequently asked questions
- What is Stephanie Wagner Kethcart's NPI number?
- Stephanie Wagner Kethcart's National Provider Identifier (NPI) is 1508897406, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Stephanie Wagner Kethcart's specialty?
- Stephanie Wagner Kethcart is listed in the NPPES registry with a primary specialty of General Practice Dentistry (Dental Providers).
- Where is Stephanie Wagner Kethcart located?
- Stephanie Wagner Kethcart's practice location on file with NPPES is 1277 E Missouri Ave Ste 102, Phoenix, AZ 85014-2916.
- What is Stephanie Wagner Kethcart's phone number?
- The practice phone number listed in the NPPES registry for Stephanie Wagner Kethcart is (602) 812-4326.
- Is Stephanie Wagner Kethcart's NPI active?
- Yes — Stephanie Wagner Kethcart's NPI (1508897406) is active in the NPPES registry as of the last update on 2019-08-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.