Provider Demographics
NPI:1972170546
Name:E STOPPER DDS PLLC
Entity Type:Organization
Organization Name:E STOPPER DDS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:EMILY
Authorized Official - Middle Name:
Authorized Official - Last Name:STOPPER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:828-406-3596
Mailing Address - Street 1:2300 NC HIGHWAY 16 S
Mailing Address - Street 2:
Mailing Address - City:JEFFERSON
Mailing Address - State:NC
Mailing Address - Zip Code:28640-9258
Mailing Address - Country:US
Mailing Address - Phone:828-406-3596
Mailing Address - Fax:
Practice Address - Street 1:227 N TALBERT BLVD
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:NC
Practice Address - Zip Code:27292-4142
Practice Address - Country:US
Practice Address - Phone:336-249-2906
Practice Address - Fax:336-249-7988
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-10
Last Update Date:2021-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8445OtherNC DENTAL LICENSE