DR. Jeffrey A Staples, DDS
NPI #1487629416 in Great Lakes, Illinois
Provider Information
- NPI Number
- 1487629416
- Entity Type
- Individual
- Name
- DR. Jeffrey A Staples, DDS
- Gender
- Not Specified
- Sole Proprietor
- Not Answered
- Primary Specialty
- Dentist
- Credential
- DDS
- Enumeration Date
- Feb 22, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 320 B ST
- Address 2
- BLDG 38H
- City
- Great Lakes
- State
- Illinois
- ZIP Code
- 60088-2815
- Phone
- (847) 688-3950
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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