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Dr. Thomas Richard Stark, DDS
Pediatric Dentist in San Antonio, Texas
NPI 1013952266

Thomas Richard Stark is a Pediatric Dentist based in San Antonio, TX and is specialized in Pediatric Dentistry. Thomas Richard Stark practices in San Antonio, TX and has the professional credentials of DDS. The NPI Number for Thomas Richard Stark is 1013952266 and holds a License No. 21135 (Texas).

The current practice location address for Thomas Richard Stark is 3551 Roger Brooke Dr, San Antonio, TX and can be reached out via phone at 210-539-9582. You can also correspond with Thomas Richard Stark through the mailing address at 3551 ROGER BROOKE DR, SAN ANTONIO, TX - 78234-4504 (mailing address contact number: 210-539-9582).

Location: 3551 Roger Brooke Dr, San Antonio, TX, 78234-4504
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1013952266
Provider Name
Thomas Richard Stark
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
3551 Roger Brooke Dr, San Antonio, TX, 78234-4504
Phone Number
210-539-9582
Fax Number
Provider Enumeration Date
06/19/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
3551 Roger Brooke Dr
City
San Antonio
State
Texas
Zip
78234-4504
Phone Number
210-539-9582
Fax Number
person
Provider Business Mailing Address Details
Address
3551 Roger Brooke Dr
City
San Antonio
State
Texas
Zip
78234-4504
Phone Number
210-539-9582
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
21135 (Texas)
Definition
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.
person
Provider's Taxonomy Details 2
Type
Dental Providers
Classification
Dentist
Speciality
Orofacial Pain
Taxonomy
1223X2210X
License No.
21135 (Texas)
Definition
A dentist who assesses, diagnoses, and treats patients with complex chronic orofacial pain and dysfunction disorders, oromotor and jaw behavior disorders, and chronic head/neck pain. The dentist has successfully completed an accredited postdoctoral orofacial pain residency training program for dentists of two or more years duration, in accord with the Commission on Dental Accreditation's Standards for Orofacial Pain Residency Programs, and/or meets the requirements for examination and board certification by the American Board of Orofacial Pain.
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