| Staples Dental LLC | |
|
3021 Highway 45 Byp Ste 103 Jackson TN 38305-0601 | |
| (731) 668-6700 | |
| Not Available |
| Full Name | Staples Dental LLC |
|---|---|
| Speciality | Dentist - Dental Public Health |
| Location | 3021 Highway 45 Byp Ste 103, Jackson, Tennessee |
| Authorized Official Name and Position | Randall Pope Staples (MEMBER) |
| Authorized Official Contact | 7316686700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Staples Dental LLC 3021 Highway 45 Byp Ste 103 Jackson TN 38305-0601 Ph: (731) 668-6700 | Staples Dental LLC 3021 Highway 45 Byp Ste 103 Jackson TN 38305-0601 Ph: (731) 668-6700 |
| NPI Number | 1932899317 |
|---|---|
| Provider Enumeration Date | 05/10/2023 |
| Last Update Date | 06/27/2023 |
| Certification Date | 06/27/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932899317 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223D0001X | Dentist - Dental Public Health | (NU) | Primary |
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