Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Boone Dermatology Clinic

Organization Dermatology Physician · NPI 1417913260

Boone Dermatology Clinic provides Dermatology Physician services in Boone, North Carolina. Licensed in North Carolina. Registered with an NPI since 2006.

Licensed in
NC
In the registry since
2006
Specialties on file
5

Practice location Address checks out

169 Birch St
Boone, NC 28607-5069 Not confirmed with CMS for 11 years — call before visiting
Phone: (828) 264-4553
Fax: (828) 262-3649
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 39986 (NC)
Dermatology Physician Taxonomy 207N00000X · Licence 18060 (NC)
Dermatology Physician Taxonomy 207N00000X · Licence 25707 (NC)
Dermatology Physician Taxonomy 207N00000X · Licence 200000665 (NC)
Dermatology Physician Taxonomy 207N00000X · Licence 200500862 (NC)

Record details

NPI number1417913260
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ronald Stanley — President · (828) 264-4553
NPI enumeratedApril 21, 2006
Last updated in NPPESApril 13, 2015
Mailing address169 Birch St, Boone, NC 28607-5069

Other providers in Boone