Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Stephanie Ann Wagner Kethcart, DDS

Individual provider General Practice Dentistry · NPI 1508897406

Dr. Stephanie Ann Wagner Kethcart, DDS is a General Practice Dentistry in Phoenix, Arizona. Practices as a sole proprietor. Licensed in Arizona.

Licensed in
AZ
In the registry since
2006
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

1277 E Missouri Ave Ste 102
Phoenix, AZ 85014-2916
Phone: (602) 812-4326
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 · Licence D6695 (AZ)

Record details

NPI number1508897406
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS
Sole proprietorYes
NPI enumeratedJuly 6, 2006
Last updated in NPPESAugust 10, 2019

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