Provider Demographics
NPI:1316958119
Name:STAPLETON, MICHAEL F (DDS)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:F
Last Name:STAPLETON
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:18325 SW ALEXANDER ST
Mailing Address - Street 2:SUITE #2
Mailing Address - City:ALOHA
Mailing Address - State:OR
Mailing Address - Zip Code:97006-3958
Mailing Address - Country:US
Mailing Address - Phone:503-642-1535
Mailing Address - Fax:503-649-2286
Practice Address - Street 1:18325 SW ALEXANDER ST
Practice Address - Street 2:SUITE #2
Practice Address - City:ALOHA
Practice Address - State:OR
Practice Address - Zip Code:97006-3958
Practice Address - Country:US
Practice Address - Phone:503-642-1535
Practice Address - Fax:503-649-2286
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OR47791223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry