DR. Jeffrey David Staley-Henne, D.M.D.

NPI #1245212273 in Paris, Illinois

Provider Information

NPI Number: 1245212273
Entity Type: Individual
Name: DR. Jeffrey David Staley-Henne, D.M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: D.M.D.
Enumeration Date: Nov 16, 2005
Last Updated: Jul 8, 2007

Practice Location

Address: 701 S MAIN ST
City: Paris
State: Illinois
ZIP Code: 61944-2329
Phone: (217) 463-4155

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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Organizations

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