Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Stephanie Nicole Wagoner Kimball, DDS

Individual provider General Practice Dentistry · NPI 1215160148

Dr. Stephanie Nicole Wagoner Kimball, DDS practises General Practice Dentistry in Madison, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2009.

Licensed in
WI
In the registry since
2009
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

621 S Park St
Madison, WI 53715-1827 Not confirmed with CMS for 17 years — call before visiting
Phone: (608) 251-3535
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 6447-015 (WI)

Record details

NPI number1215160148
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS
Sole proprietorNo
NPI enumeratedAugust 26, 2009
Last updated in NPPESAugust 26, 2009

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