Individual provider · Type 1 NPI

Jeffrey A. Staples, DDS

Dentist · Great Lakes, IL

NPI number 1487629416 Active

Practice location

320 B St, Bldg 38H
Great Lakes, IL 60088-2815

Mailing address

185 Boles Loop
Fort Sheridan, IL 60037-1230

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000XD-2049 (ID)

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1487629416

Jeffrey A. Staples, DDS's National Provider Identifier is 1487629416, issued on Feb 22, 2006. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Great Lakes, IL. The record was last updated on Jul 13, 2026.