Individual
DR. JOHN MCKETHAN STEPHENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
402 DICEY FORD RD, STE E, CAMDEN, SC 29020
(803) 425-1644
(803) 425-1640
Mailing address
402 DICEY FORD RD, STE E, CAMDEN, SC 29020
(803) 425-1644
(803) 425-1640
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
1902
SC
1223P0300X
Periodontics
Primary
288
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Z19025
—
SC
Enumeration date
08/09/2006
Last updated
09/11/2025
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