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Bradshaw Stout, DMD, MS
NPI 1972594307 · on the registry since 2005 · sole proprietor
Practice
- Address
- 719 Bayshore Dr
Niceville, FL 32578 - Phone
- (850) 240-1455
- Organisation at this address
- Emerald Coast Periodontics
Emerald Coast Periodontics, P.A.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 4
Registry record
- Primary taxonomy
- Periodontics
1223P0300X
- Also registered as
- Dentist
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-10-02
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 Florida