Individual provider · Type 1 NPI

Randall Keith Lout, DDS

Pediatric Dentistry · Mesa, AZ

NPI number 1285697474 Active

Practice location

6239 E Brown Rd, Suite 102
Mesa, AZ 85205-4933

Call (480) 396-3660 Map

Fax (480) 396-3697

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221X3911 (AZ)

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.

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About NPI 1285697474

Randall Keith Lout, DDS's National Provider Identifier is 1285697474, issued on Apr 9, 2006. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Mesa, AZ. The record was last updated on Jul 13, 2026.