| Adam L Stout Dmd Nevada Professional Corporation | |
|
1825 E Flamingo Rd Las Vegas NV 89119-5107 | |
| (702) 798-8405 | |
| (702) 798-7203 |
| Full Name | Adam L Stout Dmd Nevada Professional Corporation |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1825 E Flamingo Rd, Las Vegas, Nevada |
| Authorized Official Name and Position | Adam Leonard Stout (DIRECTOR) |
| Authorized Official Contact | 7027988405 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Adam L Stout Dmd Nevada Professional Corporation 1825 E Flamingo Rd Las Vegas NV 89119-5107 Ph: (702) 798-8405 | Adam L Stout Dmd Nevada Professional Corporation 1825 E Flamingo Rd Las Vegas NV 89119-5107 Ph: (702) 798-8405 |
| NPI Number | 1417186511 |
|---|---|
| Provider Enumeration Date | 07/09/2009 |
| Last Update Date | 07/09/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417186511 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 5847 (Nevada) | Primary |
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