Stephen Strout, Dmd, Ms | |
1301 Plantation Island Dr S Ste 204 St Augustine FL 32080-3111 | |
(904) 794-1824 | |
(904) 794-4584 |
Full Name | Stephen Strout, Dmd, Ms |
---|---|
Speciality | Dentist - General Practice |
Location | 1301 Plantation Island Dr S Ste 204, St Augustine, Florida |
Authorized Official Name and Position | Crystal Love White (REGIONAL MANAGER) |
Authorized Official Contact | 9043235293 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Stephen Strout, Dmd, Ms 1301 Plantation Island Dr S Ste 204 St Augustine FL 32080-3111 Ph: (904) 794-1824 | Stephen Strout, Dmd, Ms 1301 Plantation Island Dr S Ste 204 St Augustine FL 32080-3111 Ph: (904) 794-1824 |
NPI Number | 1609391655 |
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Provider Enumeration Date | 08/11/2017 |
Last Update Date | 07/21/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1609391655 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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