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THERON A. STOUT, DDS A PROFESSIONAL DENTAL CORPORATION
NPI 1174951727
Dentist - Pediatric Dentistry in Atascadero, CA

Active since October 17, 2013
8310 MORRO RD., ATASCADERO, CA 93422(805) 464-2723(805) 464-2726 Get Directions Write a Review

NPPES record last updated: October 18, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Theron A. Stout, Dds A Professional Dental Corporation NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THERON A. STOUT, DDS A PROFESSIONAL DENTAL CORPORATION (NPI 1174951727) is a healthcare organization registered as a pediatric dentistry in Atascadero, California and active in the NPI registry since October 2013. The organization lists Theron Andrew Stout, President/pediatric Dentist, as its authorized official.

NPPES Registry Identity

NPI1174951727
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameTHERON A. STOUT, DDS A PROFESSIONAL DENTAL CORPORATION
Location Address8310 MORRO RD.Atascadero, CA 93422-3927
Mailing Address8310 Morro RdAtascadero, CA 93422-3927 · (805) 464-2723 · Fax (805) 464-2726
Phone(805) 464-2723
Fax(805) 464-2726
Organization SubpartNo
Authorized OfficialTheron Andrew StoutPresident/pediatric Dentist · (805) 464-2723
Enumeration DateOctober 17, 2013
Last NPPES UpdateOctober 18, 2022
NPPES CertifiedOctober 18, 2022
✔ NPI 1174951727 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in CA · 50103
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
8310 MORRO RD., Atascadero, CA 93422
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Theron A. Stout, Dds A Professional Dental Corporation's NPI number?

The NPI number for Theron A. Stout, Dds A Professional Dental Corporation is 1174951727. It was assigned to this organization in the NPPES registry on October 17, 2013.

Where is Theron A. Stout, Dds A Professional Dental Corporation located?

Theron A. Stout, Dds A Professional Dental Corporation is located at 8310 Morro Rd., Atascadero, CA 93422. The listed phone number is (805) 464-2723.

What is Theron A. Stout, Dds A Professional Dental Corporation's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Theron A. Stout, Dds A Professional Dental Corporation was last updated on October 18, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.