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 is a Dermatology Physician 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
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