MEDICARE: DR. RUSSELL STAGGS D.D.S.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	12010197	IN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1578642104
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RUSSELL STAGGS D.D.S.

Provider Business Mailing Address
First Line	:	3435 S OVERLOOK PASS
Second Line	:
City	:	NEW PALESTINE
State	:	IN
Zip	:	46163-9484
Country	:	US
Telephone Number	:	317-861-9159
Fax Number	:

Provider Business Practice Location Address
First Line	:	347 W MAIN ST
Second Line	:
City	:	MORRISTOWN
State	:	IN
Zip	:	46161-9792
Country	:	US
Telephone Number	:	765-763-6412
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/03/2006
Last Update Date	:	04/12/2012

Similar Medicare Providers

1154665073 — MORRISTOWN FAMILY DENTISTRY, LLC
Practice Location Address:

347 W MAIN ST
MORRISTOWN, IN
46161-9792

Practice Phone: 765-763-6412
Practice Fax: 765-763-6815

1992675888 — MRS. ALLISON FIELD BENNETT M.ED.
Practice Location Address:

307 W MAIN ST
MORRISTOWN, IN
46161-9792

Practice Phone: 317-656-7653
Practice Fax:

1578522439 — RIVERVIEW HOSPITAL
Practice Location Address:

868 SOUTH WASHINGTON ST
MORRISTOWN, IN
46161-9633

Practice Phone: 765-763-6012
Practice Fax: 765-763-7261

1326090218 — DR. RICHARD ALAN SCHNEIDER DDS
Practice Location Address:

347 W MAIN STREET
MORRISTOWN, IN
46161

Practice Phone: 765-763-6412
Practice Fax: 765-763-6412

1164642575 — LYNN MAURCEE GROUP, INC.
Practice Location Address:

8764 N. MORRISTOWN RD.
MORRISTOWN, IN
46161-0446

Practice Phone: 765-763-6131
Practice Fax: 877-777-3363

1538440516 — J.R. COLLIP, M.D., LLC.
Practice Location Address:

219 EAST MAIN STREET
MORRISTOWN, IN
46161-0438

Practice Phone: 765-763-0212
Practice Fax: 765-763-0210

Directions to “ DR. RUSSELL STAGGS D.D.S.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.