Healthcare Provider Details

I. General information

NPI: 1003536079
Provider Name (Legal Business Name): EMILY STOPPER, DDS, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/30/2022
Last Update Date: 08/30/2022
Certification Date: 08/30/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

851 BLOWING ROCK RD
BOONE NC
28607-4865
US

IV. Provider business mailing address

598 CLAYBANK RD
WEST JEFFERSON NC
28694-7353
US

V. Phone/Fax

Practice location:
  • Phone: 828-264-5858
  • Fax:
Mailing address:
  • Phone: 828-406-3596
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. EMILY STOPPER
Title or Position: PRESIDENT
Credential: DDS
Phone: 828-406-3596