Individual
DR. GREGORY ALLEN STOUTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1125 TREMONT ST, WHITTIER STREET HEALTH CENTER, ROXBURY CROSSING, MA 02120-2178
(617) 427-1000
(617) 989-3247
Mailing address
298 ADAMS STREET, QUINCY, MA 02169
(617) 481-9441
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
11969
TX
1223G0001X
General Practice Dentistry
Primary
17575
MA
Other
Enumeration date
03/07/2007
Last updated
07/08/2007
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