Provider Demographics
NPI:1316195787
Name:STAPLES, VALERIE KAY
Entity Type:Individual
Prefix:MRS
First Name:VALERIE
Middle Name:KAY
Last Name:STAPLES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1500 PEACHTREE INDUSTRIAL BLVD STE 260
Mailing Address - Street 2:
Mailing Address - City:SUWANEE
Mailing Address - State:GA
Mailing Address - Zip Code:30024-8493
Mailing Address - Country:US
Mailing Address - Phone:770-614-8914
Mailing Address - Fax:770-614-8917
Practice Address - Street 1:1500 PEACHTREE INDUSTRIAL BLVD STE 260
Practice Address - Street 2:
Practice Address - City:SUWANEE
Practice Address - State:GA
Practice Address - Zip Code:30024-8493
Practice Address - Country:US
Practice Address - Phone:770-614-8914
Practice Address - Fax:770-614-8917
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-28
Last Update Date:2008-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes126800000XDental ProvidersDental Assistant