STACI STOUT (NPI# 1245755719) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1245755719 |
Entity Type | Individual |
Full Name | STACI STOUT |
Credential | RDH, BSDH |
Practice Address |
3113 W Swiss Pass Cir South Jordan UT 84095 |
Mailing Address |
3113 W Swiss Pass Cir South Jordan UT 84095-8489 |
Practice Telephone | (801) 678-1221 |
Mailing Telephone | 8016781221 |
Enumeration Date | 2017-08-07 |
Last Update Date | 2017-08-07 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 124Q00000X | Dental Hygienist | 5328323-9920 | UT | Dental Providers |
Street Address |
3113 W SWISS PASS CIR |
City | SOUTH JORDAN |
State | UT |
Zip Code | 84095 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033745393 | Beverly Laraine Williams | Social Worker | 11260 S River Heights Drive, South Jordan, UT 84095 | 2020-03-19 |
1265902902 | Sarah Richele Kelley | Specialist/Technologist | 10236 Alder Grovey Way, South Jordan, UT 84095 | 2018-11-26 |
1326528837 | Kristi Couse | Massage Therapist | 10679 S 2200 W Apt 2, South Jordan, UT 84095 | 2018-08-15 |
1821516063 | River Crossing Dental Professional Corporation | Clinic/Center | 12427 South 4000 West, Suite #200, Riverton, UT 84095 | 2017-09-08 |
1437698750 | Ryan Sears | Dentist | 10894 So. River Front Parkway, South Jordan, UT 84095 | 2017-02-20 |
1366989931 | Ultimate Sports Regenerative Medicine | Chiropractor | 1098 W. South Jordan Pkwy, Suite 101, South Jordan, UT 84095 | 2017-01-20 |
1306393889 | Tal Quirl | Optometrist | 3571 W. 10400 S., South Jordan, UT 84095 | 2016-09-01 |
1023562667 | Sevon Taroian | Social Worker | 11260 River Heights Drive, South Jordan, UT 84095 | 2016-08-11 |
1952762932 | Megan Buckley | Developmental Therapist | 881 Baxter Drive, Ste 100, South Jordan, UT 84095 | 2016-03-17 |
1497114870 | Trenton Johnson | Dentist | 10157 S 940 W, South Jordan, UT 84095 | 2016-02-15 |
Find all providers in zip 84095 |
Taxonomy Code | 124Q00000X |
Grouping | Dental Providers |
Classification | Dental Hygienist |
An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary. |
Notes: Source: Comprehensive Policy Statement on Dental Auxiliaries, American Dental Association. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316553738 | Gina Tippets | Dental Hygienist | 5990 Fashion Point Dr Ste 2, South Ogden, UT 84403-5179 | 2020-09-21 |
1619583671 | Karolee Goins | Dental Hygienist | 597 W 5300 S, Murray, UT 84123-5647 | 2020-09-16 |
1922663210 | Shelley D Brown | Dental Hygienist | 180 E 300 N, Orem, UT 84057-4712 | 2019-05-02 |
1669989307 | Victoria Rose Bills | Dental Hygienist | 3891 Stadium Way Dept 3920, Ogden, UT 84408-8369 | 2018-01-03 |
1093221475 | Heidi Lynn Gardiner | Dental Hygienist | 7116 N 5500 W, Newton, UT 84327-0234 | 2017-12-20 |
1528572682 | Sandra Jo Scott | Dental Hygienist | 264 W Ridgeline Dr, Washington Terrace, UT 84405 | 2017-11-28 |
1720592421 | Denver Bauter | Dental Hygienist | 980 S 500 W Ste 1, Brigham City, UT 84302-3094 | 2017-11-17 |
1023537156 | Brenda Fuell | Dental Hygienist | 12959 South Picket Fence Lane, Riverton, UT 84065 | 2017-09-09 |
1336665132 | Karol Angela Aldrich | Dental Hygienist | 450 E 3700 S, Salt Lake City, UT 84115-4634 | 2017-08-14 |
1447773494 | Heidi L Lien | Dental Hygienist | 157 N Reservation Dr, Kanosh, UT 84637 | 2017-07-21 |
Find all providers with the same taxonomy |
City | SOUTH JORDAN |
Zip Code | 84095 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.