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Shannon Stout, DENTAL HYGIENIST
NPI 1689023376 · on the registry since 2016 · sole proprietor
Practice
- Address
- 10590 Enduring Freedom Dr
Fort Drum, NY 13602 - Phone
- (315) 772-6234
- Organisation at this address
- Guthrie Ahc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 68
Registry record
- Primary taxonomy
- Dental Hygienist
124Q00000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2016-06-03
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 New York