Clinton Brent Stuart, DDS
Dentist, General Practice in Payson, AZ. Individual provider (NPI-1).
NPI number1013758481
StatusActive
Last updated in NPPESJun 3, 2024
Details
- NPI
- 1013758481
- Entity type
- Individual (NPI-1)
- Name
- Clinton Brent Stuart
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 1, 2024
- Certification date
- Jun 3, 2024
- Last updated
- Jun 3, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | D012174 | AZ | Yes |
Practice location
906 S Beeline HwyPayson, AZ 85541-5411
Phone 928-472-2500
Mailing address
1000 E Canyon DrPayson, AZ 85541-4115
Phone 928-257-5238
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