MRS. SHANNON STOUT, DENTAL HYGIENIST

Dental Hygienist

Active Individual
NPI: 1689023376

Practice Address

10590 ENDURING FREEDOM DR
Fort Drum, NY 13602

Phone: (315) 772-6234

Specialties

Specialty Code Primary License
Dental Hygienist 124Q00000X Yes 027425 (NY)

Frequently Asked Questions

NPI 1689023376 is the National Provider Identifier for MRS. SHANNON STOUT, DENTAL HYGIENIST, a Dental Hygienist provider located in Fort Drum, NY. This NPI was enumerated on June 3, 2016.
MRS. SHANNON STOUT, DENTAL HYGIENIST practices at 10590 ENDURING FREEDOM DR, Fort Drum, NY 13602.

Quick Facts

NPI
1689023376
Type
Individual
Enumerated
Jun 3, 2016
Last Updated
Jun 3, 2016

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