MISSOURI FLAT DENTAL GROUP
NPI 1396141750
Dentist - General Practice in Placerville, CA

Q: What is Stout Dental Corporation's NPI number?

The NPI number for Stout Dental Corporation is 1396141750. It was assigned to this organization in the NPPES registry on November 13, 2014. The provider is doing business as Missouri Flat Dental Group.

Q: What is Stout Dental Corporation's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Active since November 13, 2014CLIA 05D2341512 · Waiver

3967 MISSOURI FLAT ROAD, SUITE 120, PLACERVILLE, CA 95667(530) 642-2876(530) 295-8168 Get Directions Write a Review

NPPES record last updated: February 4, 2022. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Missouri Flat Dental Group NPPES

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

MISSOURI FLAT DENTAL GROUP (NPI 1396141750) is a healthcare organization registered as a general practice in Placerville, California and active in the NPI registry since November 2014. The organization holds a CLIA Waiver certificate valid through April 1, 2028 and lists Michael Stout, Owner, as its authorized official.

NPPES Registry Identity

NPI1396141750

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameSTOUT DENTAL CORPORATION

Location Address3967 MISSOURI FLAT ROAD, SUITE 120Placerville, CA 95667

Mailing AddressPo Box 920050Dallas, TX 75392-0050 · (714) 845-8890 · Fax (949) 474-1495

Phone(530) 642-2876

Fax(530) 295-8168

Organization SubpartNo

Authorized OfficialMichael StoutOwner · (530) 642-2876

Enumeration DateNovember 13, 2014

Last NPPES UpdateFebruary 4, 2022

NPPES CertifiedFebruary 4, 2022

✔ NPI 1396141750 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

3967 MISSOURI FLAT ROAD, Placerville, CA 95667

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Other Names 1

Doing Business AsMissouri Flat Dental Group

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2341512

Missouri Flat Dental Group · Placerville, CA

Active · expires Apr 1, 2028

CLIA Number05D2341512

Laboratory TypePractitioner Other

Certificate Effective DateApril 2, 2026

Certificate Expiration DateApril 1, 2028

Laboratory DirectorMichael Stout

Laboratory Phone(530) 642-2876

Laboratory LocationMissouri Flat Dental Group3967 Missouri Flat Rd, Ste 120, Placerville, CA 95667

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

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 Stout Dental Corporation's NPI number?

The NPI number for Stout Dental Corporation is 1396141750. It was assigned to this organization in the NPPES registry on November 13, 2014. The provider is doing business as Missouri Flat Dental Group.

Where is Stout Dental Corporation located?

Stout Dental Corporation is located at 3967 Missouri Flat Road Suite 120, Placerville, CA 95667. The listed phone number is (530) 642-2876.

What is Stout Dental Corporation's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Does Stout Dental Corporation hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2341512) is associated with this NPI, valid through April 1, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Stout Dental Corporation was last updated on February 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.