Individual
DR. RANDALL P STAPLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
3021 HIGHWAY 45 BYP, SUITE 103, JACKSON, TN 38305-0602
(731) 668-6700
(731) 668-9383
Mailing address
3021 HIGHWAY 45 BYP, SUITE 103, JACKSON, TN 38305-0602
(731) 668-6700
(731) 668-9383
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS3051
TN
Other
Enumeration date
10/23/2007
Last updated
06/27/2023
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