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Organization
SOUTHSIDE DENTAL GROUP, LLC
Active
Organization
SOUTHSIDE DENTAL GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN STROUT DMD, MS, PA (OWNER)
(904) 794-1824
Entity
Organization
Contact information
Practice address
1960 E BAY DR, LARGO, FL 33771-2218
(727) 535-6400
Mailing address
1301 PLANTATION ISLAND DR S STE 204, ST AUGUSTINE, FL 32080-3111
(904) 794-1824
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/27/2026
Last updated
05/27/2026
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