Wetzel, Stephanie L

Wetzel, Stephanie L is an individual health care provider with primary practice located at 290 Big Run Rd , Lexington KY 40503-2903. She recently has 2 registered licenses in different health care specialties including Dental Providers / Oral and Maxillofacial Pathology, Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery. Dental Providers / Oral and Maxillofacial Pathology is her primary health care specialty. Wetzel, Stephanie L can be contacted via phone (859) 278-9513.

Contact Information

Primary practice address
290 Big Run Rd Lexington KY 40503-2903
Phone: (859) 278-9513
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Pathology 1223P0106X 11045 Kentucky
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery 204E00000X DN015296 Georgia
Dental Providers / Oral and Maxillofacial Pathology 1223P0106X DN015296 Georgia

Profile Details

NPI number 1528217940
LBN Legal business name Wetzel, Stephanie L
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 10th, 2008
Last updated Feb 19th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528217940 NPPES
Georgia MEDICAID 003184098B
Georgia MEDICAID 7100943890

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