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Individual

DR. STEPHANIE L WETZEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
282 RUCKER RD STE 110, ALPHARETTA, GA 30004-5826
(770) 992-4844
(770) 641-1511
Mailing address
290 BIG RUN RD, LEXINGTON, KY 40503-2903

Taxonomy

Speciality
Code
Description
License number
State
1223P0106X
Oral and Maxillofacial Pathology Dentistry
11045
KY
1223P0106X
Oral and Maxillofacial Pathology Dentistry
Primary
DN015296
GA
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
DN015296
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003184098B
GA
05
7100943890
KY
Enumeration date
09/10/2008
Last updated
03/25/2026
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