Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Theron Andrew Stout, DDS

Individual provider Pediatric Dentistry · NPI 1417173980

Theron Andrew Stout, DDS is a Pediatric Dentistry in Atascadero, California. Works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2007
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

See every abbreviation used in this directory →

Practice location Address checks out

8310 Morro Rd
Atascadero, CA 93422-3927
Phone: (805) 464-2723
Fax: (805) 464-2726
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 717 Walnut Drive, Paso Robles, CA 93446 — (805) 238-5334

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence 50103 (CA)

Record details

NPI number1417173980
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedApril 17, 2007
Last updated in NPPESOctober 19, 2022
Certification dateOctober 19, 2022

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