Individual
DR. NICOLAS SHANE STAPLETON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2255 N UNIVERSITY PKWY STE 37, PROVO, UT 84604-1503
(801) 386-8778
Mailing address
1033 S 750 W, AMERICAN FORK, UT 84003-4541
(949) 633-9994
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
13357463-9923
UT
Other
Enumeration date
04/18/2023
Last updated
04/20/2023
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