Stephen Lewis Strout in St. Augustine - Periodontics
Stephen Lewis Strout - NPI 1225046691
Stephen Lewis Strout is a Periodontics in St. Augustine, Florida. Stephen Lewis Strout practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Stephen Lewis Strout is 1225046691. The last update date is 2022-07-21.
Stephen Lewis Strout's current location address is 10 Saint Johns Medical Pk Dr, St. Augustine, Florida. You can contact this provider via phone number 9047941824 and fax number 9047944584. The mailing address for Stephen Lewis Strout is 10 Saint Johns Medical Pk Dr, St. Augustine, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stephen Lewis Strout |
|---|---|
| Address | 10 Saint Johns Medical Pk Dr, St. Augustine, Florida |
| Phone Number | 9047941824 |
| Fax Number | 9047944584 |
| Sole Proprietor | Y |
| Credentials | DMD, MS |
NPI Number Detail
| NPI Number | 1225046691 |
|---|---|
| Provider Enumeration Date | 2006-08-03 |
| Last Updated Date | 2022-07-21 |
Provider Mailing Address Detail
| Address | 10 Saint Johns Medical Pk Dr |
|---|---|
| City | St. Augustine |
| State | Florida (FL) |
| Post Code | 32086 |
| Phone Number | 9047941824 |
| Fax Number | 9047944584 |
Provider's Primary Taxonomy Detail
| Speciality | Periodontics |
|---|---|
| Taxonomy | 1223P0300X |
| Licence No | DN15749 |
|
Definition: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structure |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| DN15749 | FL | STATE LICENSE |
Post Comment/ Review Below
What is the unique identification code assigned to Stephen Lewis Strout by the Centers for Medicare & Medicaid Services?
The Stephen Lewis Strout has been issued the NPI (National Provider Identifier) 1225046691. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Stephen Lewis Strout's physical address?
The Stephen Lewis Strout is physically located at 10 Saint Johns Medical Pk Dr, in the city of St. Augustine, FL, with the postal code 32086.
What is Stephen Lewis Strout's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Stephen Lewis Strout is Periodontics, and the taxonomy code that categorizes this field of expertise is 1223P0300X.
When did the Stephen Lewis Strout receive its 1225046691?
The Stephen Lewis Strout was issued its 1225046691 on 2006-08-03, which is the date when the organization was assigned this unique identifier.
When was the Stephen Lewis Strout's information last updated?
The Stephen Lewis Strout's information was last updated on 2022-07-21.
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