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Delta Stout, DMD
NPI 1780178962 · on the registry since 2018
Practice
- Address
- 1805 Mission 66
Vicksburg, MS 39180 - Phone
- (601) 638-2361
- Organisation at this address
- Brent Thomas Dmd Pa
Dental Professionals Of Mississippi, P.C.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 2
Registry record
- Primary taxonomy
- Dentist
122300000X
- Licence states on file
- MS
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2018-06-20
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 Mississippi