Organization · Type 2 NPI
Theron A. Stout, DDS A Professional Dental Corporation
Pediatric Dentistry · Atascadero, CA
NPI number
1174951727
Active
Practice location
8310 Morro Rd.
Atascadero, CA 93422-3927
Fax (805) 464-2726
Mailing address
8310 Morro Rd
Atascadero, CA 93422-3927
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Dentistry Primary | 1223P0221X | 50103 (CA) |
Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
About NPI 1174951727
Theron A. Stout, DDS A Professional Dental Corporation's National Provider Identifier is 1174951727, issued on Oct 17, 2013. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Atascadero, CA. The record was last updated on Oct 18, 2022.