Individual provider · Type 1 NPI

Michael Joseph Stark, DDS

Student in an Organized Health Care Education/Training Program · Dallas, TX

NPI number 1740965557 Active

Practice location

3302 Gaston Ave
Dallas, TX 75246-2013

Call (214) 828-8215 Map

Other practice locations

  • 1212 Duff Ave Ste 202, Ames, IA 50010-5407 · (515) 460-7101

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1740965557

Michael Joseph Stark, DDS's National Provider Identifier is 1740965557, issued on Jun 19, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Dallas, TX. The record was last updated on Jun 19, 2023.