Provider Type Icon

STOUT DENTAL CORPORATION NPI 1396141750


NPI Information

NPI: 1396141750
Provider Name: STOUT DENTAL CORPORATION

Doing Business As: MISSOURI FLAT DENTAL GROUP

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
3967 MISSOURI FLAT ROAD
SUITE 120
PLACERVILLE, CA
ZIP 95667
Phone: (530) 642-2876
Get Directions

STOUT DENTAL CORPORATION is a general practice dentist in Placerville, CA. The provider is 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. STOUT DENTAL CORPORATION NPI is 1396141750. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Missouri Flat Dental Group.

The provider's business location address is:

3967 MISSOURI FLAT ROAD
SUITE 120
PLACERVILLE, CA
ZIP 95667
Phone: (530) 642-2876
Fax: (530) 295-8168

The provider's authorized official is Michael Stout .
The authorized official title is Owner and has the following contact phone number (530) 642-2876.

The enumeration date for this NPI number is 11/13/2014 and was last updated on 2/4/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral PracticeYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.