MEDICARE: DR. CIARRA STAPLETON DDS

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	122300000X	Dentist	7426	OK
2	122300000X	Dentist	2021023479	MO

General Provider Information

NPI Number	:	1144890823
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CIARRA STAPLETON DDS

Provider Business Mailing Address
First Line	:	237 NW KESSLER DR APT 108
Second Line	:
City	:	LEES SUMMIT
State	:	MO
Zip	:	64081-4173
Country	:	US
Telephone Number	:	405-201-6572
Fax Number	:

Provider Business Practice Location Address
First Line	:	1125 S 7 HWY
Second Line	:
City	:	BLUE SPRINGS
State	:	MO
Zip	:	64014-3204
Country	:	US
Telephone Number	:	816-622-1029
Fax Number	:

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

Provider Enumeration Date	:	06/25/2021
Last Update Date	:	07/07/2021

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Directions to “ DR. CIARRA STAPLETON DDS” Practice Location

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