Individual
DR. JEFFREY A STAPLES
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
320 B ST, BLDG 38H, GREAT LAKES, IL 60088-2815
(847) 688-3950
Mailing address
185 BOLES LOOP, FORT SHERIDAN, IL 60037-1230
(847) 433-0250
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D-2049
ID
Other
Enumeration date
02/22/2006
Last updated
07/08/2007
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