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Dr. Bradshaw M Stout, DMD,MS
Periodontist in Niceville, Florida
NPI 1972594307

Bradshaw M Stout is a Periodontist based in Niceville, FL and is specialized in Periodontics. Bradshaw M Stout practices in Niceville, FL and has the professional credentials of DMD,MS. The NPI Number for Bradshaw M Stout is 1972594307 and holds a License No. DN29633 (Florida).

The current practice location address for Bradshaw M Stout is 719 Bayshore Dr, Niceville, FL and can be reached out via phone at 850-240-1455.

Location: 719 Bayshore Dr, Niceville, FL, 32578-1637
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1972594307
Provider Name
Bradshaw M Stout
Credential
DMD,MS
Provider Entity Type
Individual
Gender
Male
Address
719 Bayshore Dr, Niceville, FL, 32578-1637
Phone Number
850-240-1455
Fax Number
Provider Enumeration Date
11/03/2005
Last Update Date
10/19/2024
institution
Provider Business Practice Location Address Details
Address
719 Bayshore Dr
City
Niceville
State
Florida
Zip
32578-2527
Phone Number
850-240-1455
Fax Number
person
Provider Business Mailing Address Details
Address
719 Bayshore Dr
City
Niceville
State
Florida
Zip
32578-2527
Phone Number
850-240-1455
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
-
Taxonomy
122300000X
License No.
DN29633 (Florida)
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
person
Provider's Taxonomy Details 2
Type
Dental Providers
Classification
Dentist
Speciality
Periodontics
Taxonomy
1223P0300X
License No.
DN29633 (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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