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Dr. Michael Edward Stout, DDS
General Practice Dentistry in Waynesboro, Virginia
NPI 1235184995

Michael Edward Stout is a General Practice Dentistry based in Waynesboro, VA and is specialized in General Practice. Michael Edward Stout practices in Waynesboro, VA and has the professional credentials of DDS. The NPI Number for Michael Edward Stout is 1235184995 and holds a License No. VA0401007125 (Virginia).

The current practice location address for Michael Edward Stout is 30 Stoneridge Drive, Waynesboro, VA and can be reached out via phone at 540-949-8053 and via fax at 540-943-2505.

Location: 30 Stoneridge Drive, Waynesboro, VA, 22980
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1235184995
Provider Name
Michael Edward Stout
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
30 Stoneridge Drive, Waynesboro, VA, 22980
Phone Number
540-949-8053
Fax Number
540-943-2505
Provider Enumeration Date
05/23/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
317947 01 VA ANTHEM BCBS
7801114 05 VA
institution
Provider Business Practice Location Address Details
Address
30 Stoneridge Drive
City
Waynesboro
State
Virginia
Zip
22980
Phone Number
540-949-8053
Fax Number
540-943-2505
person
Provider Business Mailing Address Details
Address
30 Stoneridge Drive
City
Waynesboro
State
Virginia
Zip
22980
Phone Number
540-949-8053
Fax Number
540-943-2505
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
VA0401007125 (Virginia)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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