Individual provider · Type 1 NPI
Jonathan Duane Stout
Denturist · Mcminnville, OR
NPI number
1053445221
Active
Practice location
145 NE 3rd St
Mcminnville, OR 97128-4900
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Denturist Primary | 122400000X | DT-DO-302894 (RI) |
Denturist: A denturist is a licensed professional that serves patients with removable dental prosthetic oral health needs. A licensed denturist is trained in removable dental prosthetics and the fabrication of such devices.
About NPI 1053445221
Jonathan Duane Stout's National Provider Identifier is 1053445221, issued on Mar 16, 2007. The primary taxonomy on file is Denturist (122400000X), and the practice location is in Mcminnville, OR. The record was last updated on Jul 8, 2007.