Frederick Wayne Stark, DDS

General Practice Dentistry · Derby, KS

Individual Active NPI

NPI number 1699901595

Practice location

1710 E Madison Ave Ste 600
Derby, KS 67037-2285
Phone
(316) 788-4000

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NPI record

NPI
1699901595
Entity type
Individual (Type 1)
Enumeration date
June 5, 2009
Last updated
January 3, 2019
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 60680 KS

Mailing address

700 N Maple St
McPherson, KS 67460-3325
Phone
(620) 241-5000

About Dr. Stark

Frederick Wayne Stark, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 1710 E Madison Ave Ste 600, Derby, KS 67037-2285. The NPI number 1699901595 was assigned on June 5, 2009 and the record was last updated on January 3, 2019.

Dr. Stark lists a license in the registry: #60680 (KS) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Frederick Wayne Stark, DDS?

The NPI number is 1699901595.

What is the phone number of Dr. Stark?

The phone number listed for the practice location is (316) 788-4000.

Where is Dr. Stark located?

1710 E Madison Ave Ste 600, Derby, KS 67037-2285.

What is the taxonomy code for Dr. Stark?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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