Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. BRADSHAW M STOUT, DMD, MS
Active Sole ProprietorDR. BRADSHAW M STOUT, DMD, MS is a Periodontology healthcare provider located in NICEVILLE, Florida. NPI 1972594307 is currently active in the NPPES registry. Verify at CMS.
Periodontology · NICEVILLE, FL
Registration Details
- NPI Number
- 1972594307
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 3, 2005 (20.596778786928 yrs)
- Last Updated
- Oct 2, 2024
- Licenses
-
DN29633 (FL)DN29633 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
719 BAYSHORE DRNICEVILLE, FL, 325782527Browse FL providers · Browse ZIP 32578
- Phone
- 8502401455
- Primary Specialty
-
Periodontology
1223P0300X
- Additional Specialty
- Periodontology
Other Periodontology Providers in NICEVILLE, FL
| Name | Credential | NPI |
|---|---|---|
| DR. PATRICIA R FRANCISCO | D.M.D. | 1871731794 |
| DR. DENNIS B DAVIS | D.M.D., M.S. | 1316185275 |
| DR. MARTIN MCCLAIN WOOLSEY | DDS | 1588914543 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.