John D. Stark, D.D.S.

General Practice Dentistry · Riverton, UT

Individual Active NPI

NPI number 1811082753

Practice location

2120 W 12600 S
Riverton, UT 84065-7131
Phone
(801) 254-0713
Fax
(801) 254-0417

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NPI record

NPI
1811082753
Entity type
Individual (Type 1)
Enumeration date
October 4, 2006
Last updated
January 7, 2016
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 5656136 UT

Mailing address

1258 W South Jordan Pkwy
Ste 204
South Jordan, UT 84095-4712
Phone
(801) 254-0713

About Dr. Stark

John D. Stark, D.D.S. is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 2120 W 12600 S, Riverton, UT 84065-7131. The NPI number 1811082753 was assigned on October 4, 2006 and the record was last updated on January 7, 2016.

Dr. Stark lists a license in the registry: #5656136 (UT) 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 John D. Stark, D.D.S.?

The NPI number is 1811082753.

What is the phone number of Dr. Stark?

The phone number listed for the practice location is (801) 254-0713.

Where is Dr. Stark located?

2120 W 12600 S, Riverton, UT 84065-7131.

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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