MR. JONATHAN DUANE STOUT
NPI 1053445221
Denturist in Mcminnville, OR
- Individual
- Male
- Denturist
About JONATHAN STOUT
This page provides the complete NPI Profile along with additional information for Jonathan Stout, a provider established in Mcminnville, Oregon with a medical specialization in Denturist. The healthcare provider is registered in the NPI registry with number 1053445221 assigned on March 2007. The practitioner's primary taxonomy code is 122400000X with license number DT-DO-302894 (RI). The provider is registered as an individual and his NPI record was last updated 19 years ago.
- NPI
- 1053445221 Verify this NPI
- Provider Name
- MR. JONATHAN DUANE STOUT
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 145 NE 3RD ST MCMINNVILLE, OR 97128
- Location Phone
- (503) 472-0990
- Mailing Address
- 145 NE 3RD ST MCMINNVILLE, OR 97128
- Mailing Phone
- (503) 472-0990
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 03-16-2007
- Last Update Date
- 07-08-2007
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Denturist
- Taxonomy Code
- 122400000X
- Type
- Dental Providers
- License No.
- DT-DO-302894
- License State
- RI
- Taxonomy Description
- A denturist is a licensed professional that serves patients with removable dental prosthetic oral health needs. A licensed denturist is trained in removable dental prosthetics and the fabrication of such devices.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1053445221, enumerated as an "individual" on March 16, 2007.
The provider is located at 145 NE 3RD ST MCMINNVILLE, OR 97128 and the phone number is (503) 472-0990.
Denturist with taxonomy code 122400000X.
