Dr. Stephanie Nicole Wagoner Kimball is a Madison, Wisconsin based Dentist who is specialized in
General Practice Dentistry. She does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Stephanie Nicole Wagoner Kimball is
6447-015 for General Practice Dentistry in Wisconsin. Her current practice location is
621 S Park St, Madison. Patients can reach her at
608-251-3535.
Dr. Stephanie Nicole Wagoner Kimball is the primary dental care provider for patients of all ages. She is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Dr. Stephanie Nicole Wagoner Kimball speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Dr. Stephanie Nicole Wagoner Kimball |
| Specialization: | Dentist |
| Gender: | Female |
| Credentials: | D.D.S. |
| Accepts Medicare Assignment: | No |
| Practice Address: | 621 S Park St, Madison,
Wisconsin, 53715-1827 |
| Phone: | 608-251-3535 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1215160148 |
| NPI Enumeration Date: | 26 Aug, 2009 |
| NPI Last Update On: | 26 Aug, 2009 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Stephanie Nicole Wagoner Kimball are as mentioned below.
| License Number | Specialization | State | Status | |
| 6447-015 | General Practice Dentistry | Wisconsin | Primary | |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 621 S Park St,
Madison, Wisconsin |
| Zip: | 53715-1827 |
| Phone Number: | 608-251-3535 |
Patients can reach Dr. Stephanie Nicole Wagoner Kimball at
621 S Park St, Madison, Wisconsin or can
call to book an appointment on 608-251-3535.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.