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Mrs. Shannon Stout, DENTALHYGIENIST
Dental Hygienist in Fort Drum, New York
NPI 1689023376

Shannon Stout is a Dental Hygienist based in Fort Drum, NY. Shannon Stout practices in Fort Drum, NY and has the professional credentials of DENTALHYGIENIST. The NPI Number for Shannon Stout is 1689023376 and holds a License No. 027425 (New York).

The current practice location address for Shannon Stout is 10590 Enduring Freedom Dr, Fort Drum, NY and can be reached out via phone at 315-772-6234.

Location: 10590 Enduring Freedom Dr, Fort Drum, NY, 13602-5005
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1689023376
Provider Name
Shannon Stout
Credential
DENTALHYGIENIST
Provider Entity Type
Individual
Gender
Female
Address
10590 Enduring Freedom Dr, Fort Drum, NY, 13602-5005
Phone Number
315-772-6234
Fax Number
Provider Enumeration Date
06/03/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
10590 Enduring Freedom Dr
City
Fort Drum
State
New York
Zip
13602-5005
Phone Number
315-772-6234
Fax Number
person
Provider Business Mailing Address Details
Address
10590 Enduring Freedom Dr
City
Fort Drum
State
New York
Zip
13602-5005
Phone Number
315-772-6234
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dental Hygienist
Speciality
-
Taxonomy
124Q00000X
License No.
027425 (New York)
Definition
An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary.
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