NPI 1245755719
Staci Stout, RDH, BSDH
Dental Hygienist · South Jordan, UT
Active in the CMS NPI RegistryNot on the OIG exclusion listchecked Oct 15, 2026, 6:18 pm EDT
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Staci Stout, RDH, BSDH is a health care provider (Dental Hygienist) in South Jordan, Utah with National Provider Identifier (NPI) 1245755719. The NPI was issued on Aug 7, 2017 and the registry record was last updated on Jul 21, 2022. The registry lists a license in Utah.
Registry record
- NPI
- 1245755719
- Type
- Individual (NPI-1), sole proprietor
- Primary specialty
- Dental Hygienist 124Q00000X
- Practice location
- 3113 W Swiss Pass Cir
South Jordan, UT 84095 - Phone
- (801) 678-1221
- NPI issued
- Aug 7, 2017
- Registry record updated
- Jul 21, 2022
Specialties and licenses
| Specialty | Taxonomy code | License state | License |
|---|---|---|---|
| Dental Hygienist Primary | 124Q00000X | Utah | 5328323-9920 |
Confirm license status and discipline with the state board (links in NPI Lookup).
Source: CMS National Plan and Provider Enumeration System (NPPES) and the HHS-OIG List of Excluded Individuals/Entities (list of Oct 9, 2026). Is this your record? Update it in NPPES or email info@2minutemedicine.com to have it hidden here.