DR. William Howard Stackpole, DDS
NPI #1770588188 in Forest Lake, Minnesota
Provider Information
- NPI Number
- 1770588188
- Entity Type
- Individual
- Name
- DR. William Howard Stackpole, DDS
- Gender
- Not Specified
- Sole Proprietor
- Not Answered
- Primary Specialty
- Dentist - General Practice
- Credential
- DDS
- Enumeration Date
- Jun 14, 2005
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 1068 LAKE ST S
- Address 2
- STE 210
- City
- Forest Lake
- State
- Minnesota
- ZIP Code
- 55025-2634
- Phone
- (651) 464-8207
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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