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

Individual provider General Practice Dentistry · NPI 1215160148

Dr. Stephanie Nicole Wagoner Kimball, DDS is a General Practice Dentistry in Madison, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2009.

Licensed in
WI
In the registry since
2009
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

621 S Park St
Madison, WI 53715-1827
Phone: (608) 251-3535
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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 6447-015 (WI)

Record details

NPI number1215160148
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS
Sole proprietorNo
NPI enumeratedAugust 26, 2009
Last updated in NPPESAugust 26, 2009

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