Individual
DR. JEFFREY STOUT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
344 E MAIN ST, NEWARK, DE 19711-7148
(302) 737-5170
Mailing address
344 E MAIN ST, NEWARK, DE 19711-7148
(302) 737-5170
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1032
DE
332B00000X
Durable Medical Equipment & Medical Supplies
G1-0001032
DE
Other
Enumeration date
01/22/2007
Last updated
07/23/2019
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