# KETHCART SMILES PLLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Stephanie Kethcart DDS SOLE MBR
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245680438
- **Authorized official:** DR. STEPHANIE KETHCART DDS (OWNER)
- **Authorized official phone:** (602) 615-8516

## Contact information

- **Practice address:** 1277 E MISSOURI AVE STE 102, PHOENIX, AZ 85014-2916
- **Practice address phone:** (602) 615-8516
- **Practice address fax:** (602) 883-7252
- **Mailing address:** 1277 E MISSOURI AVE STE 102, PHOENIX, AZ 85014-2916
- **Mailing address phone:** (602) 615-8516
- **Mailing address fax:** (602) 883-7252

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | D6695 | AZ | Yes |

## Other

- **Enumeration date:** 06/17/2016
- **Last updated:** 08/10/2019