Individual provider · Type 1 NPI

Matthew Jon Stark, DDS

Dentist · Minneapolis, MN

NPI number 1154519296 Active

Practice location

1000 E Lake St
Minneapolis, MN 55407-1617

Call (612) 821-2017 Map

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry 1223G0001X56420 (CA)
Dentist Primary 122300000XD14862 (MN)

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 1154519296

Matthew Jon Stark, DDS's National Provider Identifier is 1154519296, issued on Oct 12, 2007. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Minneapolis, MN. The record was last updated on Jun 16, 2026.