Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kethcart Sleep LLC

Organization General Practice Dentistry · NPI 1235641937

Kethcart Sleep LLC is a General Practice Dentistry in Phoenix, Arizona. Licensed in Arizona. Registered with an NPI since 2017.

Licensed in
AZ
In the registry since
2017
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1277 E Missouri Ave Ste 102
Phoenix, AZ 85014-2916
Phone: (602) 615-8516
Fax: (602) 883-7252
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X · Licence D6695 (AZ)

Record details

NPI number1235641937
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Stephanie Wagner Kethcart — Managaing Member/Dentist · (602) 615-8516
Other names Central Phoenix Center For Tmj, Pain & Sleep Disorders; Central Phoenix Center For Tmj, Pain & Sleep Disorders
NPI enumeratedNovember 2, 2017
Last updated in NPPESJuly 13, 2020
Certification dateJuly 13, 2020
Mailing address1277 E Missouri Ave Ste 102, Phoenix, AZ 85014-2916

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