Strout Acquistions, LLC

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

DN15749 Issued in FL

Legal business name

STROUT ACQUISTIONS, LLC

Practice address

1542 Kingsley Ave
Suite 135
Orange Park, FL 32073-4586

Phone

(904) 278-6980

Fax

(904) 278-5201

NPI assigned

Apr 14, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Stephen Strout, D.M.D.,M.S.

Title

Owner/ Dentist

Phone

(904) 794-1824

Specialties & licenses 1

Addresses

Other names 1

• Advanced Periodontics Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jennifer Ann Perna, D.M.D

  • Dentist
  • Orange Park, FL
  • NPI 1013326032
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1239667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239667200000",
    "number": "1205079712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1542 KINGSLEY AVE",
            "address_2": "SUITE 135",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320734586",
            "telephone_number": "904-278-6980",
            "fax_number": "904-278-5201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1542 KINGSLEY AVE",
            "address_2": "SUITE 135",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320734586",
            "telephone_number": "904-278-6980",
            "fax_number": "904-278-5201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STROUT ACQUISTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-14",
        "last_updated": "2009-04-14",
        "status": "A",
        "authorized_official_last_name": "STROUT",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "OWNER/ DENTIST",
        "authorized_official_telephone_number": "904-794-1824",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D.,M.S."
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": "FL",
            "license": "DN15749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Periodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Melanie Stratton, OT
• Michael Wayne Stratton, D.M.D.
• Letracia Nanette Streater-Chisolm, COTA
• Brianna Strickland
• Verna Stringfellow, SLP
• Barbara Jo Stuart, PHD
• Alexander Stumbo
• Success TMS North Florida, LLC
• Rechelieu Luban Sudario, APRN
• Scott Suhrer, MD

• Periodontics in Orange Park, FL
• Providers in Orange Park, FL by specialty
• Periodontics in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.