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WILLIAM STOUT DENTAL PLLC
NPI 1912716507
Clinic/Center - Dental in Rexburg, ID

Active since January 07, 2025
286 E MOODY RD STE E&F, REXBURG, ID 83440(509) 551-9963 Get Directions Write a Review

NPPES record last updated: January 7, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Table of Contents

  1. NPI Profile Information
  2. Primary Taxonomy
  3. Authorized Official
  4. Frequently Asked Questions
  • Organization
  • Clinic/Center
  • Dental

About WILLIAM STOUT DENTAL PLLC

This page provides the complete NPI Profile along with additional information for William Stout Dental Pllc, a provider established in Rexburg, Idaho operating as a Clinic/center, focusing in dental . The healthcare provider is registered in the NPI registry with number 1912716507 assigned on January 2025. The practitioner's primary taxonomy code is 261QD0000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Dr. William Craig Stout Dds (Doctor/owner)

NPI
1912716507 Verify this NPI
Provider Name
WILLIAM STOUT DENTAL PLLC
Entity Type
Organization
Location Address
286 E MOODY RD STE E&F REXBURG, ID 83440
Location Phone
(509) 551-9963
Mailing Address
286 E MOODY RD STE E&F REXBURG, ID 83440
Mailing Phone
(509) 551-9963
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-07-2025
Last Update Date
01-07-2025
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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

Clinic/Center Dental

Taxonomy Code
261QD0000X
Type
Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. WILLIAM CRAIG STOUT DDS

Authorized Official Title
DOCTOR/OWNER
Authorized Official Phone
(509) 551-9963

Reviews for WILLIAM STOUT DENTAL PLLC

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Frequently Asked Questions

What is WILLIAM STOUT DENTAL PLLC's NPI number?

The NPI number assigned to this healthcare provider is 1912716507, enumerated as an "organization" on January 07, 2025.

Where is the provider located?

The provider is located at 286 E MOODY RD STE E&F REXBURG, ID 83440 and the phone number is (509) 551-9963.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QD0000X and a focus in Dental.