Jean C Stout is a Pediatric Dentistry in Pasadena, Texas. Jean C Stout practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Jean C Stout is 1356417778. The last update date is 2007-07-08.
Jean C Stout's current location address is Po Box 1262, Pasadena, Texas. You can contact this provider via phone number 7139478222 and fax number 7139472471. The mailing address for Jean C Stout is Po Box 1262, Pasadena, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jean C Stout |
|---|---|
| Address | Po Box 1262, Pasadena, Texas |
| Phone Number | 7139478222 |
| Fax Number | 7139472471 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1356417778 |
|---|---|
| Provider Enumeration Date | 2006-11-28 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | Po Box 1262 |
|---|---|
| City | Pasadena |
| State | Texas (TX) |
| Post Code | 77501 |
| Phone Number | 7139478222 |
| Fax Number | 7139472471 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 12508 |
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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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What is the unique identifier code issued to Jean C Stout by the Centers for Medicare & Medicaid Services?
The Jean C Stout has been assigned the NPI (National Provider Identifier) 1356417778. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Jean C Stout?
The Jean C Stout is situated at Po Box 1262, in the city of Pasadena, state of TX, with the zip code 77501.
What is Jean C Stout's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Jean C Stout's specialized field of practice is Pediatric Dentistry, and the corresponding taxonomy code that categorizes this area of specialization is 1223P0221X.
When was the Jean C Stout's 1356417778 issued?
The Jean C Stout's 1356417778 was issued on 2006-11-28.
When was the Jean C Stout's information last updated?
The Jean C Stout's information was last updated on 2007-07-08.