NPI: 1235641937
Provider Name: KETHCART SLEEP LLC
Doing Business As: CENTRAL PHOENIX CENTER FOR TMJ, PAIN & SLEEP DISORDERS
Classification: Dentist - 1223G0001X
Entity Type: Organization
Specialization: General Practice
Address:
1277 E MISSOURI AVE STE 102
PHOENIX, AZ
ZIP 85014
Phone: (602) 615-8516
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KETHCART SLEEP LLC is a general practice dentist in Phoenix, AZ. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. KETHCART SLEEP LLC NPI is 1235641937. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Central Phoenix Center For Tmj, Pain & Sleep Disorders.
The provider's business location address is:
1277 E MISSOURI AVE STE 102
PHOENIX, AZ
ZIP 85014-916
Phone: (602) 615-8516
Fax: (602) 883-7252
The provider's authorized official is Stephanie Wagner Kethcart .
The authorized official title is Managaing Member/dentist and has the following contact phone number (602) 615-8516.
The enumeration date for this NPI number is 11/2/2017 and was last updated on 7/13/2020.