Organization
MICHAEL STOUT DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS CHILDRESS (OFFICE MANAGER)
(540) 949-8053
Entity
Organization
Contact information
Practice address
30 STONERIDGE DR STE 102, WAYNESBORO, VA 22980-6522
(540) 949-8053
Mailing address
30 STONERIDGE DR STE 102, WAYNESBORO, VA 22980-6522
(540) 949-8053
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
08/24/2022
Last updated
08/24/2022
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