Strout, Stephen Lewis

Strout, Stephen Lewis is an sole proprietor health care provider with primary practice located at 1301 Plantation Island Dr S Ste 204 , St Augustine FL 32080-3111. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. Strout, Stephen Lewis can be contacted via phone (904) 794-1824.

Contact Information

Primary practice address
1301 Plantation Island Dr S Ste 204 St Augustine FL 32080-3111
Phone: (904) 794-1824
Fax: (904) 794-4584
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X DN15749 Florida

Profile Details

NPI number 1225046691
LBN Legal business name Strout, Stephen Lewis
Credentials DMD, MS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 3rd, 2006
Last updated Jul 21st, 2022 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1225046691 NPPES
Florida Other DN15749 STATE LICENSE

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