Provider Demographics
NPI:1386136893
Name:PAULA M STAPLETON DDS PLLC
Entity type:Organization
Organization Name:PAULA M STAPLETON DDS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE STAFF
Authorized Official - Prefix:
Authorized Official - First Name:ASHLEA
Authorized Official - Middle Name:B
Authorized Official - Last Name:WILSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-851-6161
Mailing Address - Street 1:8204 TRYON WOODS DR STE 102
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27518-7164
Mailing Address - Country:US
Mailing Address - Phone:919-851-6161
Mailing Address - Fax:919-851-6188
Practice Address - Street 1:8204 TRYON WOODS DR STE 102
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27518-7164
Practice Address - Country:US
Practice Address - Phone:919-851-6161
Practice Address - Fax:919-851-6188
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-31
Last Update Date:2019-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty