Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Homer Gary Ketcherside, DDS, MS

Individual provider Orthodontics and Dentofacial Orthopedics Dentistry · NPI 1043570658

Homer Gary Ketcherside, DDS, MS is an Orthodontics and Dentofacial Orthopedics Dentistry in Corona, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2012
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.
MS — Master of Science
A graduate science degree.

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Practice location Address checks out

720 Magnolia Ave Ste A1
Corona, CA 92879-3119
Phone: (951) 737-3800
Fax: (951) 737-3937
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthodontics and Dentofacial Orthopedics Dentistry (primary) Taxonomy 1223X0400X · Licence 28872 (CA)

Record details

NPI number1043570658
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS , MS
Sole proprietorYes
NPI enumeratedMay 17, 2012
Last updated in NPPESJuly 22, 2013
Mailing address720 Magnolia Ave, Suite A1, Corona, CA 92879-3119

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