Dr. John Theodore Kettlewell , DDS
Dentist - General Practice • Phoenix, AZ
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. John Kettlewell has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. John Kettlewell, DDS was a registered Dentist - General Practice practicing in Phoenix, AZ. Throughout an active medical career spanning 19 years, Dr. Kettlewell provided care at the practice location at 6226 N 27TH AVE until profile deactivation on 2025-04-10.
Practice Location & Contact Primary Location
6226 N 27th Ave
Phoenix, AZ 850176241
Specialty Benchmarks & Practice Insights
Comparative analytics for Dentist - General Practice in Phoenix, AZ
Practicing in Phoenix, AZ (2600 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 1223G0001X
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.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Dentist
Dentist
Doctor of Dental Medicine
Dentist - General Practice
Doctor of Dental Surgery
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on April 10, 2025
NPI status registered as active in NPPES database
Registered at 6226 N 27TH AVE, PHOENIX, AZ 850176241 (Tel: 6022422576)
Registered at 6226 N 27TH AVE, PHOENIX, AZ 850176241 (Tel: 6022422576)
Recorded as JOHN KETTLEWELL, DDS
Dentist (License #1785 in AZ)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
6226 N 27th Ave
Phoenix, AZ 850176241
Phone: 6022422576
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