Garrett S Stigall, DDS, MD, PA

Primary specialty

Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X

Legal business name

GARRETT S STIGALL, DDS, MD, PA

Doing business as

Stigall Oral Surgery & Dental Implants

Practice address

240 Doctors Dr
Boone, NC 28607-5018

Phone

(828) 264-7842

Fax

(828) 264-0627

NPI assigned

Nov 1, 2020

Last updated

Nov 1, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Garrett Spencer Stigall, DDS, MDNPI 1952652802

Title

President

Phone

(828) 264-7842

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Stigall Oral Surgery & Dental Implants Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Garrett Stigall, D.D.S

  • Oral and Maxillofacial Surgery (Dentist)
  • Boone, NC
  • NPI 1952652802

  Single Specialty

  NPD Authorized official
• Larry Everett Stigall, DDS

  • Dentist
  • Boone, NC
  • NPI 1487762985
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1604188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604188800000",
    "number": "1801496419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 DOCTORS DR",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286075018",
            "telephone_number": "828-264-7842",
            "fax_number": "828-264-0627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 DOCTORS DR",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286075018",
            "telephone_number": "828-264-7842",
            "fax_number": "828-264-0627"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "120 Wilkesboro Ave",
            "address_purpose": "LOCATION",
            "city": "North Wilkesboro",
            "state": "NC",
            "postal_code": "286594218",
            "country_code": "US",
            "telephone_number": "336-568-0270",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "342B Harper Ave NW",
            "address_purpose": "LOCATION",
            "city": "Lenoir",
            "state": "NC",
            "postal_code": "286455061",
            "country_code": "US",
            "telephone_number": "828-754-5808",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GARRETT S STIGALL, DDS, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-01",
        "last_updated": "2020-11-01",
        "certification_date": "2020-11-01",
        "status": "A",
        "authorized_official_last_name": "STIGALL",
        "authorized_official_first_name": "GARRETT",
        "authorized_official_middle_name": "SPENCER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "828-264-7842",
        "authorized_official_credential": "DDS, MD"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1223S0112X",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "14401095",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stigall Oral Surgery & Dental Implants",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Virginia Kaye Gardiner
• Gardner Marriage and Family Therapy, PLLC
• Joseph R Gardner, LMFT
• Joseph Garner
• Michael Leonard Garner, M.D.
• Samuel Scot Garrett, PHARMD
• Gregory Allen Garth, MD
• Sherese Crystal Gay, LPC
• Jennifer Lee Gehlen, AUD
• Patricia Ann Geiger, M.D.

• Oral & Maxillofacial Surgery (D.M.D.) in Boone, NC
• Providers in Boone, NC by specialty
• Oral & Maxillofacial Surgery (D.M.D.) in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.