Individual provider · Type 1 NPI
Dylan Starck, DMD, MD
Oral and Maxillofacial Surgery (Dentist) · Mequon, WI
NPI number
1417519331
Active
Practice location
1539 W Market St
Mequon, WI 53092-5053
Mailing address
2637 2nd Ave
Monroe, WI 53566-3501
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 2952000584 (MI) |
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 2901600432 (MI) |
Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Another provider at this address
Other oral and maxillofacial surgery (dentist) providers in Mequon
- Mark J. Kortebein, DDSOral and Maxillofacial Surgery (Dentist) Mequon, WI NPI 1336233790
- Peter Louis Wagner, DDSOral and Maxillofacial Surgery (Dentist) Mequon, WI NPI 1548356280
- Alan A. Kimmel, DDSOral and Maxillofacial Surgery (Dentist) Mequon, WI NPI 1760576128
- Sheppard B. Mollick, DMDOral and Maxillofacial Surgery (Dentist) Mequon, WI NPI 1962596395
About NPI 1417519331
Dylan Starck, DMD, MD's National Provider Identifier is 1417519331, issued on Jul 1, 2019. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Mequon, WI. The record was last updated on Jun 17, 2025.