DR. JOHN MCKETHAN STEPHENSON DMD NPI 1598775736

NPI Information

  • NPI: 1598775736
  • Provider Name: DR. JOHN MCKETHAN STEPHENSON, DMD
  • Classification: Dentist - 1223P0300X
  • Specialization: Periodontics
  • Entity Type: Individual
  • Address: 402 DICEY FORD RD
    STE E
    CAMDEN, SC
    ZIP 29020
  • Phone: (803) 425-1644

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NPI Details

DR. John Mckethan Stephenson, DMD is a periodontics dentist in Camden, SC. The provider is that specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. DR. John Mckethan Stephenson, DMD NPI is 1598775736. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

402 DICEY FORD RD
STE E
CAMDEN, SC
ZIP 29020
Phone: (803) 425-1644
Fax: (803) 425-1640

The enumeration date for this NPI number is 8/9/2006 and was last updated on 9/11/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1122300000XDentist1902SOUTH CAROLINANo
21223P0300XDentistPeriodontics288SOUTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1Z19025MEDICAIDSOUTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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