Individual
DR. MICHAEL EDWARD STOUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
30 STONERIDGE DRIVE, SUITE 102, WAYNESBORO, VA 22980
(540) 949-8053
(540) 943-2505
Mailing address
30 STONERIDGE DRIVE, SUITE 102, WAYNESBORO, VA 22980
(540) 949-8053
(540) 943-2505
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
VA0401007125
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
317947
ANTHEM BCBS
VA
05
—
7801114
—
VA
Enumeration date
05/23/2006
Last updated
07/13/2026
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