Theron A. Stout, DDS a Professional Dental Corporation
Theron A. Stout, DDS a Professional Dental Corporation is a Pediatric Dentistry in Atascadero, California. Licensed in California. Registered with an NPI since 2013.
- Licensed in
- CA
- In the registry since
- 2013
Practice location Address checks out
8310 Morro RdAtascadero, CA 93422-3927
Phone: (805) 464-2723
Fax: (805) 464-2726
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pediatric Dentistry (primary) | Taxonomy 1223P0221X · Licence 50103 (CA) |
|---|
Record details
| NPI number | 1174951727 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Theron Stout — President/Pediatric Dentist · (805) 464-2723 |
| NPI enumerated | October 17, 2013 |
| Last updated in NPPES | October 18, 2022 |
| Certification date | October 18, 2022 |
| Mailing address | 8310 Morro Rd, Atascadero, CA 93422-3927 |
Other providers in Atascadero
-
Dr. Kristin L. Newsom, DDS, MS, INC
4260 El Camino Real, Atascadero, CA 93422 · (805) 461-1182
-
Theron Andrew Stout, DDS
8310 Morro Rd, Atascadero, CA 93422-3927 · (805) 464-2723