Individual provider · Type 1 NPI

Kelly Kristine Stark, DDS

General Practice Dentistry · Minnetonka, MN

NPI number 1629137054 Active

Practice location

17705 Hutchins Dr Ste 201
Minnetonka, MN 55345-4103

Call (952) 474-5239 Map

Mailing address

5212 Logan Ave S
Minneapolis, MN 55419-1022

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001XD11805 (MN)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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About NPI 1629137054

Kelly Kristine Stark, DDS's National Provider Identifier is 1629137054, issued on Dec 8, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Minnetonka, MN. The record was last updated on Aug 1, 2024.