OrganizationActive
Staples Dental LLC
NPI 1932899317 · Public Health Dentistry · Jackson, TN
Provider details
- NPI number
- 1932899317
- Entity type
- Organization
- Primary specialty
- Public Health DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Randall Staples, Member(731) 668-6700
Specialties & taxonomies
Dental Providers
Practice location
3021 Highway 45 Byp Ste 103
Jackson, TN 38305-0601
Phone: (731) 668-6700
Approximate (ZIP-level) locationGet directions
Mailing address
3021 Highway 45 Byp Ste 103
Jackson, TN 38305-0601
Registry dates
- Enumerated
- 2023-05-10
- Last updated
- 2023-06-27
- Certified
- 2023-06-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.