Stout, Justin
Stout, Justin is an individual health care provider with primary practice located at 2796 Sycamore Dr Ste 200 , Simi Valley CA 93065-1549. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Stout, Justin can be contacted via phone (805) 306-0200.Contact Information
Primary practice address
2796 Sycamore Dr Ste 200
Simi Valley CA 93065-1549
Phone: (805) 306-0200
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 1855791 | Massachusetts |
| Dental Providers / Dentist | 122300000X | 62341 | California |
Profile Details
| NPI number | 1699053017 |
|---|---|
| LBN Legal business name | Stout, Justin |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 2nd, 2011 |
| Last updated | Nov 9th, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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