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Theron Andrew Stout, DDS
Pediatric Dentist in Atascadero, California
NPI 1417173980

Theron Andrew Stout is a Pediatric Dentist based in Paso Robles, CA and is specialized in Pediatric Dentistry. Theron Andrew Stout practices in Atascadero, CA and has the professional credentials of DDS. The NPI Number for Theron Andrew Stout is 1417173980 and holds a License No. 50103 (California).

The current practice location address for Theron Andrew Stout is 8310 Morro Rd, Atascadero, CA and can be reached out via phone at 805-464-2723 and via fax at 805-464-2726.

Location: 8310 Morro Rd, Atascadero, CA, 93446
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1417173980
Provider Name
Theron Andrew Stout
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
8310 Morro Rd, Atascadero, CA, 93446
Phone Number
805-464-2723
Fax Number
805-464-2726
Provider Enumeration Date
04/17/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
8310 Morro Rd
City
Atascadero
State
California
Zip
93422-3927
Phone Number
805-464-2723
Fax Number
805-464-2726
person
Provider Business Mailing Address Details
Address
8310 Morro Rd
City
Atascadero
State
California
Zip
93422-3927
Phone Number
805-464-2723
Fax Number
805-464-2726
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
50103 (California)
Definition
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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