Stephen Strout, DMD, Ms

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

STEPHEN STROUT, DMD, MS

Doing business as

St. Augustine Center for Dental Excellence

Practice address

1301 Plantation Island Dr S Ste 204
St Augustine, FL 32080-3111

Phone

(904) 794-1824

Fax

(904) 794-4584

NPI assigned

Aug 11, 2017

Organization subpart

No

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

Authorized official

Name

Crystal Love White

Title

Regional Manager

Phone

(904) 323-5293

Specialties & licenses 1

Addresses

Other names 2

• St. Augustine Center for Dental Excellence Doing business as
• Advanced Periodontics and Implant Surgery Other name

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

{
    "created_epoch": "1502409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1609391655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 PLANTATION ISLAND DR S STE 204",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320803111",
            "telephone_number": "904-794-1824",
            "fax_number": "904-794-4584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 PLANTATION ISLAND DR S STE 204",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320803111",
            "telephone_number": "904-794-1824",
            "fax_number": "904-794-4584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN STROUT, DMD, MS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-11",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_middle_name": "LOVE",
        "authorized_official_title_or_position": "REGIONAL MANAGER",
        "authorized_official_telephone_number": "904-323-5293"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Augustine Center for Dental Excellence",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Advanced Periodontics and Implant Surgery",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Stefan L. Stanescu, MD, PA
• Marisa Steimle
• Susan Rollo Stein, M.S., R.D., L.D.
• Sharon Lynn Steinmetz, A.R.N.P.
• Stephanie Kinsey DDS
• Stephens Memorial Home
• Angela Denise Stephens, LMT
• Cynthia Stephens, CRNA
• Steven R. Freeman DDS PL
• Mary R Steves

• General Practice Dentistry in St Augustine, FL
• Providers in St Augustine, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.