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Contact Information

STAPLES DENTAL LLC
3021 HIGHWAY 45 BYP STE 103
JACKSON, TN38305-0601
 Phone: 731-668-6700
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dental Public Health

1223D0001X
Indicates primary specialty

NPI Profile & details for STAPLES DENTAL LLC

NPI # 1932899317
LBN Legal business name STAPLES DENTAL LLC
Authorized official RANDALL STAPLES - (MEMBER)
Entity Organization
Organization subpart 1 No
Enumeration date 05/10/2023
Last updated 06/27/2023 - About 3 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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