Individual provider · Type 1 NPI

Mitchell A. Stark, DDS

Oral and Maxillofacial Surgery (Dentist) · Rockville, MD

NPI number 1841371630 Active

Practice location

14955 Shady Grove Rd, Suite 330
Rockville, MD 20850

Call (301) 340-0101 Map

Fax (301) 340-1689

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X11426 (MD)
Oral and Maxillofacial Surgery (Dentist) 1223S0112XDEN5790 (DC)

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.

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About NPI 1841371630

Mitchell A. Stark, DDS's National Provider Identifier is 1841371630, issued on Oct 18, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Rockville, MD. The record was last updated on Jul 8, 2007.