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Active NPI 1699413351 Individual Practitioner Male Practitioner

Dr. Robert Stout , DMD

Dentist - General Practice • Ceres, CA

Professional Overview & Biography Verified Profile Summary

Dr. Robert Stout, DMD is a registered healthcare professional specializing in Dentist - General Practice in Ceres, CA. Practice services are available at 1920 MEMORIAL DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1920 Memorial Dr

Ceres, CA 953071827

Telephone 2097224842
Associated Practice Facility / Clinic
🏢 Stanislaus County Bhrs Facility NPI 1649303546

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Ceres, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.7 Yrs
Regional Practice Density
7 Specialists

Practicing in Ceres, CA (18734 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-04-05
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License CA 109689

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Dentist

NUCC Taxonomy Code: 122300000X

State License CA 109689

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
NPI 1003957895

Doctor of Medicine (M.D.)

Jessica Hurtado

Health Educator

NPI 1013716026
Sarah Griffiths

Nurse Practitioner

NPI 1023559937
Janise Roebuck , NP

Nurse Practitioner - Family

NPI 1023651080

Nurse Practitioner

Christina Manguerra , LCSW

Social Worker - Clinical

NPI 1053201293

Licensed Clinical Social Worker

Ferris Powell

Nurse Practitioner - Family

NPI 1083205835

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 05, 2024

Dentist (License #109689 in CA)

📍
Updated Practice Location February 02, 2024

Registered at 1920 MEMORIAL DR, CERES, CA 953071827 (Tel: 2097224842)

📍
Updated Business Mailing Address February 02, 2024

Registered at 737 W CHILDS AVE, MERCED, CA 953416805 (Tel: 2097224842)

👤
Provider Name / Credentials Updated February 02, 2024

Recorded as ROBERT STOUT, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 02, 2024

Dentist (License #109689 in CA)

NPI Profile Active May 23, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location May 23, 2022

Registered at 22717 S ELLSWORTH RD STE B102, QUEEN CREEK, AZ 851427575 (Tel: 4808889596)

📍
Updated Business Mailing Address May 23, 2022

Registered at 11102 E VICTORIA ST, CHANDLER, AZ 852487811 (Tel: 2096025900)

👤
Provider Name / Credentials Updated May 23, 2022

Recorded as ROBERT STOUT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 23, 2022

Dentist (License #D011365 in AZ)

🟢
Initial NPI Registration & Enumeration May 23, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1699413351
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 23, 2022
Last Update: April 05, 2024
Sole Proprietor: No

Mailing Address

737 W Childs Ave

Merced, CA 953416805

Phone: 2097224842

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.