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Dr. Stephen Lewis Strout, DMD,MS
Periodontist in St Augustine, Florida
NPI 1225046691

Stephen Lewis Strout is a Periodontist based in St. Augustine, FL and is specialized in Periodontics. Stephen Lewis Strout practices in St Augustine, FL and has the professional credentials of DMD,MS. The NPI Number for Stephen Lewis Strout is 1225046691 and holds a License No. DN15749 (Florida).

The current practice location address for Stephen Lewis Strout is 1301 Plantation Island Dr S Ste 204, St Augustine, FL and can be reached out via phone at 904-794-1824 and via fax at 904-794-4584.

Location: 1301 Plantation Island Dr S Ste 204, St Augustine, FL, 32086
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1225046691
Provider Name
Stephen Lewis Strout
Credential
DMD,MS
Provider Entity Type
Individual
Gender
Male
Address
1301 Plantation Island Dr S Ste 204, St Augustine, FL, 32086
Phone Number
904-794-1824
Fax Number
904-794-4584
Provider Enumeration Date
08/03/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
DN15749 01 FL STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
1301 Plantation Island Dr S Ste 204
City
St Augustine
State
Florida
Zip
32080-3111
Phone Number
904-794-1824
Fax Number
904-794-4584
person
Provider Business Mailing Address Details
Address
1301 Plantation Island Dr S Ste 204
City
St Augustine
State
Florida
Zip
32080-3111
Phone Number
904-794-1824
Fax Number
904-794-4584
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Periodontics
Taxonomy
1223P0300X
License No.
DN15749 (Florida)
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
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