MEDICARE: E STOPPER DDS PLLC

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	1223G0001X	General Practice Dentistry

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	8445	OTHER	NC	NC DENTAL LICENSE

General Provider Information

NPI Number	:	1972170546
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	E STOPPER DDS PLLC

Provider Business Mailing Address
First Line	:	2300 NC HIGHWAY 16 S
Second Line	:
City	:	JEFFERSON
State	:	NC
Zip	:	28640-9258
Country	:	US
Telephone Number	:	828-406-3596
Fax Number	:

Provider Business Practice Location Address
First Line	:	227 N TALBERT BLVD
Second Line	:
City	:	LEXINGTON
State	:	NC
Zip	:	27292-4142
Country	:	US
Telephone Number	:	336-249-2906
Fax Number	:	336-249-7988

Authorized Official
Title or Position	:	OWNER
Name	:	DR. EMILY STOPPER
Credential	:	DDS
Telephone Number	:	828-406-3596

Provider Enumeration Date	:	06/10/2021
Last Update Date	:	06/10/2021

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Directions to “E STOPPER DDS PLLC ” Practice Location

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