Dr. Robert J. Stancill, DDS, Ms, PLLC

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

5880 Issued in NC

Legal business name

DR. ROBERT J. STANCILL, DDS, MS, PLLC

Practice address

4601 Lake Boone TRL Ste 2a
Raleigh, NC 27607-7503

Phone

(919) 239-4940

Fax

(919) 322-0503

NPI assigned

Sep 15, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Robert J. Stancill, DDS, MS

Title

Owner

Phone

(919) 239-4940

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1442275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442275200000",
    "number": "1922477462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4601 LAKE BOONE TRL STE 2A",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276077503",
            "telephone_number": "919-239-4940",
            "fax_number": "919-322-0503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4601 LAKE BOONE TRL STE 2A",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276077503",
            "telephone_number": "919-239-4940",
            "fax_number": "919-322-0503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. ROBERT J. STANCILL, DDS, MS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-15",
        "last_updated": "2015-09-15",
        "status": "A",
        "authorized_official_last_name": "STANCILL",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-239-4940",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MS"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "NC",
            "license": "5880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Endodontics in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Endodontics in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2015; 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.