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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 last year

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.

Request for update

Popular Providers