Organization Active NPI

Alan M. Stoll, DDS,PC

  • Oral and Maxillofacial Surgery (Dentist)
  • Hannibal, MO
National Provider Identifier
1972773364
Registry record updated Mar 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
13715 Issued in MO
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, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2008

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

Authorized official

Name
Dr. Alan M. StollNPI 1083688105
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)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.