Individual
DR. COLE WILLIAM STAPP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
625 ELM ST, CLINTON, IN 47842-1728
(765) 832-3434
Mailing address
625 ELM ST, CLINTON, IN 47842-1728
(765) 832-3434
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
100368
AK
1223G0001X
General Practice Dentistry
Primary
12013339A
IN
Other
Enumeration date
06/12/2015
Last updated
06/08/2020
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