Whalio Doctors

NPI 1215622642

Desiree C Stout

Practitioner Dental Assistant Fort Polk, LA

Practice location

Address
7223 Mississippi Ave., Fort Polk, LA 71459
Phone
(337) 531-2603
Mailing address
7223 Mississippi Ave, Fort Polk, LA 71459

Registered specialties (2)

Dental Assistant Primary
Dental Providers Taxonomy 126800000X
Dental Hygienist
Dental Providers Taxonomy 124Q00000X

Registry record

NPI
1215622642
Entity type
Individual
Sex (as registered)
Female
NPI issued
11 Apr 2023
Record last updated
11 Apr 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.