Cory Morris Stark, D.D.S.

Pediatric Dentistry · Draper, UT

Individual Active NPI

NPI number 1962592329

Practice location

112 E 12450 S
100
Draper, UT 84020-8056
Phone
(801) 571-6751
Fax
(801) 571-4156

Open in Google Maps

NPI record

NPI
1962592329
Entity type
Individual (Type 1)
Enumeration date
October 13, 2006
Last updated
July 8, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pediatric Dentistry Primary 1223P0221X 144937-9923 UT

Mailing address

112 East 12450 South
100
Draper, UT 84020
Phone
(801) 571-6751
Fax
(801) 571-4156

About Dr. Stark

Cory Morris Stark, D.D.S. is a healthcare provider registered in the NPI registry with the primary taxonomy Pediatric Dentistry (code 1223P0221X). The practice location is 112 E 12450 S, 100, Draper, UT 84020-8056. The NPI number 1962592329 was assigned on October 13, 2006 and the record was last updated on July 8, 2007.

Dr. Stark lists a license in the registry: #144937-9923 (UT) for Pediatric Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Cory Morris Stark, D.D.S.?

The NPI number is 1962592329.

What is the phone number of Dr. Stark?

The phone number listed for the practice location is (801) 571-6751.

Where is Dr. Stark located?

112 E 12450 S, 100, Draper, UT 84020-8056.

What is the taxonomy code for Dr. Stark?

The primary taxonomy code is 1223P0221X – Pediatric 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.

Other Pediatric Dentistry providers in Draper

All Pediatric Dentistry providers in Draper, UT →