NPI 1245755719
Staci Stout, RDHBSDH
Practice location
- Address
- 3113 W Swiss Pass Cir, South Jordan, UT 84095
- Phone
- (801) 678-1221
- Mailing address
- 3113 W Swiss Pass Cir, South Jordan, UT 84095-8489
Registered specialties
Dental Hygienist
Primary
Registry record
- NPI
- 1245755719
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 7 Aug 2017
- Record last updated
- 21 Jul 2022
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.