Individual provider · Type 1 NPI
Cory Morris Stark, DDS
Pediatric Dentistry · Draper, UT
NPI number
1962592329
Active
Practice location
112 E 12450 S, 100
Draper, UT 84020-8056
Fax (801) 571-4156
Mailing address
112 East 12450 South, 100
Draper, UT 84020
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Dentistry Primary | 1223P0221X | 144937-9923 (UT) |
Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
2 other providers at this address
Other pediatric dentistry providers in Draper
About NPI 1962592329
Cory Morris Stark, DDS's National Provider Identifier is 1962592329, issued on Oct 13, 2006. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Draper, UT. The record was last updated on Jul 8, 2007.