# MICHAEL E. STOUT, DDS PC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1891978029
- **Authorized official:** DR. MICHAEL STOUT DDS (OWNER)
- **Authorized official phone:** (540) 949-8053

## Contact information

- **Practice address:** 30 STONERIDGE DR, SUITE 102, WAYNESBORO, VA 22980-6522
- **Practice address phone:** (540) 949-8053
- **Practice address fax:** (540) 943-2505
- **Mailing address:** 30 STONERIDGE DR, SUITE 102, WAYNESBORO, VA 22980-6522
- **Mailing address phone:** (540) 949-8053
- **Mailing address fax:** (540) 943-2505

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | VA0401007125 | VA | Yes |

## Other

- **Enumeration date:** 12/11/2007
- **Last updated:** 12/11/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 7801114 | — | VA |