Theron A. Stout, Dds A Professional Dental Corporation
Pediatric Dental Clinic
8310 Morro Rd., Atascadero
California, 93422-3927
805-464-2723 805-464-2726
Maps & DirectionsTheron A. Stout, Dds A Professional Dental Corporation is a Pediatric Dental Clinic in Atascadero, California. It is located at 8310 Morro Rd., Atascadero, CA and its contact number is 805-464-2723. The authorized person for Theron A. Stout, Dds A Professional Dental Corporation is Mr. Theron Andrew Stout
who is President/pediatric Dentist of the clinic and their contact number is 805-464-2723. The primary license number for Theron A. Stout, Dds A Professional Dental Corporation is 50103 (Pediatric Dentistry) in California.
Theron A. Stout, Dds A Professional Dental Corporation Clinic provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Complete Clinic Profile:
Theron A. Stout, Dds A Professional Dental Corporation Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Theron A. Stout, Dds A Professional Dental Corporation |
| Specialization: | Pediatric Dentistry |
| Clinic Address: | 8310 Morro Rd., Atascadero,
California, 93422-3927 |
| Phone: | 805-464-2723 |
| Fax: | 805-464-2726 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Mr. Theron Andrew Stout |
| Position: | President/pediatric Dentist |
| Contact Number: | 805-464-2723 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Theron A. Stout, Dds A Professional Dental Corporation clinic are as mentioned below.
| NPI Number: | 1174951727 |
| NPI Enumeration Date: | 17 Oct, 2013 |
| NPI Last Update On: | 18 Oct, 2022 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Theron A. Stout, Dds A Professional Dental Corporation are as mentioned below.
| Specialization | License Number | State | Status | |
| Pediatric Dentistry | 50103 | California | Primary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Theron A. Stout, Dds A Professional Dental Corporation
8310 Morro Rd,
Atascadero, California |
| Zip: | 93422-3927 |
| Phone Number: | 805-464-2723 |
| Fax Number: | 805-464-2726 |
Patients can reach Theron A. Stout, Dds A Professional Dental Corporation at
8310 Morro Rd., Atascadero, California or can
call to book an appointment on 805-464-2723.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.