Dr. Bradshaw M Stout, DMD, MS
Dr. Bradshaw M Stout, DMD, MS is a Dentist in Niceville, Florida. Practices as a sole proprietor. Licensed in Florida.
- Licensed in
- FL
- In the registry since
- 2005
- Specialties on file
- 2
What do these letters mean?
Practice location Address checks out
719 Bayshore DrNiceville, FL 32578-2527
Phone: (850) 240-1455
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Specialties & licences
| Periodontics (primary) | Taxonomy 1223P0300X · Licence DN29633 (FL) |
|---|---|
| Dentist | Taxonomy 122300000X · Licence DN29633 (FL) |
Record details
| NPI number | 1972594307 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | DMD , MS |
| Sole proprietor | Yes |
| NPI enumerated | November 3, 2005 |
| Last updated in NPPES | October 2, 2024 |
| Certification date | September 27, 2024 |
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