Search › California › 1223P0221X

Theron Stout, DDS

NPI 1417173980 · on the registry since 2007

Practice

Address
8310 Morro Rd
Atascadero, CA 93422
Phone
(805) 464-2723
Fax
(805) 464-2726
Organisation at this address
Theron A. Stout, Dds A Professional Dental Corporation
Inferred from a shared address, not stated in the registry.

Additional practice sites

  • 717 Walnut Drive, Paso Robles, CA

Registry record

Primary taxonomy
1223P0221X
1223P0221X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-10-19

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California