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Individual

DR. SCOTT E TROUT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
4017 W JACKSON ST, MUNCIE, IN 47304-3610
(765) 747-7992
(765) 288-5542
Mailing address
4017 W JACKSON ST, MUNCIE, IN 47304-3610
(765) 747-7992
(765) 288-5542

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12008524A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100106060A
IN
Enumeration date
11/28/2006
Last updated
05/22/2008
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