# ALAN M. STOLL, DDS,PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1972773364
- **Authorized official:** DR. ALAN M. STOLL (PRESIDENT)
- **Authorized official phone:** (573) 248-0071

## Contact information

- **Practice address:** 6 DIAMOND BLVD, HANNIBAL, MO 63401-2257
- **Practice address phone:** (573) 248-0071
- **Practice address fax:** (573) 248-1016
- **Mailing address:** 6 DIAMOND BLVD, HANNIBAL, MO 63401
- **Mailing address phone:** (573) 248-0071
- **Mailing address fax:** (573) 248-1016

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 13715 | MO | Yes |

## Other

- **Enumeration date:** 03/03/2008
- **Last updated:** 03/03/2008