MEDICARE: TRISTONE DERMATOLOGY, PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207N00000X	Dermatology Physician

General Provider Information

NPI Number	:	1215870126
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TRISTONE DERMATOLOGY, PC

Provider Business Mailing Address
First Line	:	1101 MORNING VIEW DR
Second Line	:
City	:	BELMONT
State	:	NC
Zip	:	28012-0096
Country	:	US
Telephone Number	:	307-746-5031
Fax Number	:

Provider Business Practice Location Address
First Line	:	419 W WARREN ST
Second Line	:
City	:	SHELBY
State	:	NC
Zip	:	28150-5329
Country	:	US
Telephone Number	:	307-746-5031
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. LARRY NAPOLITANO JR.
Credential	:	MD
Telephone Number	:	307-746-5031

Provider Enumeration Date	:	04/14/2026
Last Update Date	:	04/14/2026

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