Active NPI
Alan M. Stoll, DDS,PC
- Oral and Maxillofacial Surgery (Dentist)
- Hannibal, MO
National Provider Identifier
1972773364
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 13715
- Legal business name
- ALAN M. STOLL, DDS,PC
- Practice address
- 6 Diamond Blvd
Hannibal, MO 63401-2257 - Phone
- (573) 248-0071
- Fax
- (573) 248-1016
- NPI assigned
- Mar 3, 2008
- Last updated
- Mar 3, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Alan M. Stoll
- Title
- President
- Phone
- (573) 248-0071
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 13715 | MO | Primary |
Addresses
Primary practice location
6 Diamond Blvd
Hannibal, MO 63401-2257
Mailing address
6 Diamond Blvd
Hannibal, MO 63401
Phone (573) 248-0071
National Provider Directory
National Provider DirectoryLocations
6 Diamond Blvd
Hannibal, MO 63401
Phone (573) 248-0071
Practitioners & affiliated clinicians
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.
-
- Oral and Maxillofacial Surgery (Dentist)
- Hannibal, MO
- NPI 1083688105
-
- Oral and Maxillofacial Surgery (Dentist)
- Quincy, IL
- NPI 1548341191
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204502400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1204502400000",
"number": "1972773364",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 DIAMOND BLVD",
"city": "HANNIBAL",
"state": "MO",
"postal_code": "63401",
"telephone_number": "573-248-0071",
"fax_number": "573-248-1016"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6 DIAMOND BLVD",
"city": "HANNIBAL",
"state": "MO",
"postal_code": "634012257",
"telephone_number": "573-248-0071",
"fax_number": "573-248-1016"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALAN M. STOLL, DDS,PC",
"organizational_subpart": "NO",
"enumeration_date": "2008-03-03",
"last_updated": "2008-03-03",
"status": "A",
"authorized_official_last_name": "STOLL",
"authorized_official_first_name": "ALAN",
"authorized_official_middle_name": "M.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "573-248-0071",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "MO",
"license": "13715",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hannibal, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.