Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1699053017 Individual Practitioner Male Practitioner

Dr. Justin Stout , DMD

Dentist • Simi Valley, CA

Professional Overview & Biography Verified Profile Summary

Dr. Justin Stout, DMD is a registered healthcare professional specializing in Dentist in Simi Valley, CA. Practice services are available at 2796 SYCAMORE DR STE 200 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2796 Sycamore Dr Ste 200

Simi Valley, CA 930651549

Telephone 8053060200
Associated Practice Facility / Clinic
🏢 S Tenggren Dental Corp Facility NPI 1245636034

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Simi Valley, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.4 Yrs
Regional Practice Density
52 Specialists

Practicing in Simi Valley, CA (15331 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: 2023-11-09
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License CA 62341

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.

Dentist

NUCC Taxonomy Code: 122300000X

State License MA 1855791

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.

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location November 09, 2023

Registered at 2796 SYCAMORE DR STE 200, SIMI VALLEY, CA 930651549 (Tel: 8053060200)

📍
Updated Business Mailing Address November 09, 2023

Registered at 2796 SYCAMORE DR STE 200, SIMI VALLEY, CA 930651549 (Tel: 8053060200)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 09, 2023

Dentist (License #1855791 in MA)

NPI Profile Active July 27, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location July 27, 2013

Registered at 4360 E MAIN ST STE C, VENTURA, CA 930038279 (Tel: 8056446110)

📍
Updated Business Mailing Address July 27, 2013

Registered at 11691 NORTHDALE DR, MOORPARK, CA 930213708 (Tel: 8052171611)

👤
Provider Name / Credentials Updated July 27, 2013

Recorded as JUSTIN STOUT, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 27, 2013

Dentist (License #62341 in CA)

🟢
Initial NPI Registration & Enumeration August 02, 2011

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: 1699053017
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 02, 2011
Last Update: November 09, 2023
Sole Proprietor: No

Mailing Address

2796 Sycamore Dr Ste 200

Simi Valley, CA 930651549

Phone: 8053060200

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.