Individual
GARRETT STIGALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
240 DOCTORS DR, BOONE, NC 28607-5018
(828) 264-7842
(828) 264-0627
Mailing address
3302 GASTON AVE, DALLAS, TX 75246-2013
(214) 828-8445
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
28455
TX
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
9413
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1223S0112X
—
NC
Enumeration date
10/01/2012
Last updated
02/20/2019
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