Doctor profile · Federal record
Dr. Theron Stout, DDS
Pediatric Dentist · Atascadero, CA
- NPI 1417173980
- 19 yrs on file
- Male
- Group practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
8310 Morro RD
Atascadero, CA 934223927
(805) 464-2723
fax (805) 464-2726 - Additional location
-
717 Walnut Drive
Paso Robles, CA 93446
(805) 238-5334
fax (805) 238-6470 - Mailing address
-
209 Meadowlark RD
Paso Robles, CA 93446
Credentials & registration
- NPI registered
- April 2007 — 19 yrs on file
- Profile last updated
- October 19, 2022
- Specialty taxonomy
- 1223P0221X — NUCC code
- State license (1)
- California #50103
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1417173980. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$27
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Patterson Companies, INC. | 1 | $27.28 |
By nature of payment
Frequently asked questions
What is Dr. Theron Stout's medical specialty?
Dr. Theron Stout practices Pediatric Dentist in Atascadero, CA.
Where does Dr. Theron Stout practice?
Dr. Theron Stout practices at 8310 Morro RD, Atascadero, CA 934223927. Office phone: 8054642723.
What is Dr. Theron Stout's NPI?
Dr. Theron Stout's National Provider Identifier (NPI) is 1417173980, issued by NPPES.