William Stout Dental Pllc

NPI #1912716507 in Rexburg, Idaho

Provider Information

NPI Number
1912716507
Entity Type
Organization
Organization Name
William Stout Dental Pllc
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Jan 7, 2025
Last Updated
Jan 7, 2025

Practice Location

Address
286 E MOODY RD STE E&F
State
Idaho
ZIP Code
83440-5566
Phone
(509) 551-9963

Authorized Official

Name
DR. WILLIAM CRAIG STOUT, DDS
Title
DOCTOR/OWNER
Phone
(509) 551-9963

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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