Active NPI
Stephanie L Wetzel, DDS
- Oral and Maxillofacial Pathology Dentistry
- Alpharetta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Pathology Dentistry
- License
- DN015296
- Practice address
- 282 Rucker Rd Ste 110
Alpharetta, GA 30004-5826 - Phone
- (770) 992-4844
- Fax
- (770) 641-1511
- NPI assigned
- Sep 10, 2008
- Last updated
- Mar 25, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Pathology Dentistry | 1223P0106X | DN015296 | GA | Primary |
| Oral and Maxillofacial Pathology Dentistry | 1223P0106X | 11045 | KY | |
| Oral & Maxillofacial Surgery (D.M.D.) | 204E00000X | DN015296 | GA |
Addresses
Primary practice location
282 Rucker Rd Ste 110
Alpharetta, GA 30004-5826
Mailing address
290 Big Run Rd
Lexington, KY 40503-2903
Other practice location 1
290 Big Run Rd
Lexington, KY 40503-2903
Phone (859) 278-9513
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003184098B | Medicaid | GA | |
| 7100943890 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN, KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Dentist
- Education
- University of Minnesota School of Dentistry, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
290 Big Run Rd
Lexington, KY 40503-2903
Phone (859) 278-9513
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.98 of 100
- Quality
- 75
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11045 | KY | MD | Oral and Maxillofacial Pathology Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southeast Oral Diagnostics LLC | Oral and Maxillofacial Pathology | Current | Accepting new patients |
| Regents of the University of Minnesota | Current | Accepting new patients | |
| Chipps, Caffrey & Dubilier, P.S.C | Current | Accepting new patients | |
| Regents of the University of Minnesota | Current | Accepting new patients | |
| Regents of the University of Minnesota | Current | Accepting new patients | |
| Regents of the University of Minnesota | Current | Accepting new patients | |
| Emory Specialty Associates, LLC | Past | Accepting new patients | |
| Eastside Pathology PC | Past | Accepting new patients |
Locations
282 Rucker Rd
Ste 110
Alpharetta, GA 30004
Phone (770) 992-4844
550 Pharr Rd NE
Ste 325
Atlanta, GA 30305
Phone (404) 233-8221
290 Big Run Rd
Lexington, KY 40503
Phone (859) 685-0600
420 Delaware St SE
Ste MMC83
Minneapolis, MN 55455
515 Delaware St SE
Ste 7-521
Minneapolis, MN 55455
Interoperability endpoints
- swetzel28209@direct.emory.org
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Anatomic Pathology & Clinical Pathology Physician
- Lexington, KY
- NPI 1336148683
-
- Oral and Maxillofacial Pathology Dentistry
- Alpharetta, GA
- NPI 1063378966
-
dba Community-University Health Care Center
- Federally Qualified Health Center (FQHC)
- Minneapolis, MN
- NPI 1114019858
-
dba University of Minnesota School of Dentistry
- Dental Clinic/Center
- Minneapolis, MN
- NPI 1457448615
-
dba Boynton Health Service
- Clinic Pharmacy
- Minneapolis, MN
- NPI 1528288875
-
dba University Oral Pathology Laboratory
- Clinical Medical Laboratory
- Minneapolis, MN
- NPI 1962572784
-
- Anatomic Pathology & Clinical Pathology Physician
- Snellville, GA
- NPI 1831290915
-
- Anesthesiology Physician
- Lagrange, GA
- NPI 1407864168
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Emory Decatur Hospital
- General Acute Care Hospital
- Decatur, GA
- NPI 1093716979
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221004800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774396800000",
"number": "1528217940",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "290 BIG RUN RD",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405032903"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "282 RUCKER RD STE 110",
"city": "ALPHARETTA",
"state": "GA",
"postal_code": "300045826",
"telephone_number": "770-992-4844",
"fax_number": "770-641-1511"
}
],
"practiceLocations": [
{
"address_1": "290 Big Run Rd",
"address_purpose": "LOCATION",
"city": "Lexington",
"state": "KY",
"postal_code": "405032903",
"country_code": "US",
"telephone_number": "859-278-9513",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WETZEL",
"first_name": "STEPHANIE",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-09-10",
"last_updated": "2026-03-25",
"certification_date": "2026-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0106X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Pathology",
"state": "GA",
"license": "DN015296",
"primary": true
},
{
"code": "1223P0106X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Pathology",
"state": "KY",
"license": "11045",
"primary": false
},
{
"code": "204E00000X",
"taxonomy_group": "",
"desc": "Oral & Maxillofacial Surgery",
"state": "GA",
"license": "DN015296",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003184098B",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100943890",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Alpharetta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.