Theron Andrew Stout in Atascadero - Pediatric Dentistry
Theron Andrew Stout - NPI 1417173980
Theron Andrew Stout is a Pediatric Dentistry in Atascadero, California. Theron Andrew Stout practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Theron Andrew Stout is 1417173980. The last update date is 2022-10-19.
Theron Andrew Stout's current location address is 8310 Morro Rd, Atascadero, California. You can contact this provider via phone number 8054642723 and fax number 8054642726. The mailing address for Theron Andrew Stout is 8310 Morro Rd, Atascadero, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Theron Andrew Stout |
|---|---|
| Address | 8310 Morro Rd, Atascadero, California |
| Phone Number | 8054642723 |
| Fax Number | 8054642726 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1417173980 |
|---|---|
| Provider Enumeration Date | 2007-04-17 |
| Last Updated Date | 2022-10-19 |
Provider Mailing Address Detail
| Address | 8310 Morro Rd |
|---|---|
| City | Atascadero |
| State | California (CA) |
| Post Code | 934223927 |
| Phone Number | 8054642723 |
| Fax Number | 8054642726 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 50103 |
|
Definition: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
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Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Theron Andrew Stout by the Centers for Medicare & Medicaid Services?
The Theron Andrew Stout has been issued the NPI (National Provider Identifier) 1417173980 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Theron Andrew Stout is located?
The Theron Andrew Stout is situated at the following address: 8310 Morro Rd, Atascadero, CA, 934223927.
What is Theron Andrew Stout's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Theron Andrew Stout is Pediatric Dentistry, and the taxonomy code that categorizes this field of expertise is 1223P0221X.
On what date did the Theron Andrew Stout receive the assignment of its 1417173980 from the Centers for Medicare & Medicaid Services?
The Theron Andrew Stout was issued its 1417173980 by the Centers for Medicare & Medicaid Services on 2007-04-17.
As of what date was the information pertaining to Theron Andrew Stout, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Theron Andrew Stout, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2022-10-19.
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