| Theron A. Stout, Dds A Professional Dental Corporation | |
|
8310 Morro Rd. Atascadero CA 93422-3927 | |
| (805) 464-2723 | |
| (805) 464-2726 |
| Full Name | Theron A. Stout, Dds A Professional Dental Corporation |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 8310 Morro Rd., Atascadero, California |
| Authorized Official Name and Position | Theron Andrew Stout (PRESIDENT/PEDIATRIC DENTIST) |
| Authorized Official Contact | 8054642723 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Theron A. Stout, Dds A Professional Dental Corporation 8310 Morro Rd Atascadero CA 93422-3927 Ph: (805) 464-2723 | Theron A. Stout, Dds A Professional Dental Corporation 8310 Morro Rd. Atascadero CA 93422-3927 Ph: (805) 464-2723 |
| NPI Number | 1174951727 |
|---|---|
| Provider Enumeration Date | 10/17/2013 |
| Last Update Date | 10/18/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174951727 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 50103 (California) | Primary |
Ronald L Chalker A Professional Organization Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 7405 Morro Rd, Atascadero, CA 93422 Phone: 805-466-1243 Fax: 805-466-7152 | |
Drs. Chalker And Peterson, A Dental Partnership Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 7405 Morro Rd, Atascadero, CA 93422 Phone: 805-466-1273 | |
Creekside Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 8840 Morro Rd, Atascadero, CA 93422 Phone: 805-462-8710 | |
Russell C Wilson Dds A Professional Dental Corporation Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 7005 Atascadero Ave, Atascadero, CA 93422 Phone: 805-466-3328 | |
Dwayne R Burbach Dds Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 7005 Atascadero Ave, Atascadero, CA 93422 Phone: 805-466-3328 Fax: 805-466-0824 | |
Drs. Guittard & Sierra Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5960 West Mall Ste A, Atascadero, CA 93422 Phone: 909-528-1252 Fax: 805-466-6831 |