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Dr. Kelly Kristine Stark, DDS
General Practice Dentistry in Minnetonka, Minnesota
NPI 1629137054

Kelly Kristine Stark is a General Practice Dentistry based in Minneapolis, MN and is specialized in General Practice. Kelly Kristine Stark practices in Minnetonka, MN and has the professional credentials of DDS. The NPI Number for Kelly Kristine Stark is 1629137054 and holds a License No. D11805 (Minnesota).

The current practice location address for Kelly Kristine Stark is 17705 Hutchins Dr Ste 201, Minnetonka, MN and can be reached out via phone at 952-474-5239.

Location: 17705 Hutchins Dr Ste 201, Minnetonka, MN, 55419-1022
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1629137054
Provider Name
Kelly Kristine Stark
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
17705 Hutchins Dr Ste 201, Minnetonka, MN, 55419-1022
Phone Number
952-474-5239
Fax Number
Provider Enumeration Date
12/08/2006
Last Update Date
08/17/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
323627700 05 MN
institution
Provider Business Practice Location Address Details
Address
17705 Hutchins Dr Ste 201
City
Minnetonka
State
Minnesota
Zip
55345-4103
Phone Number
952-474-5239
Fax Number
person
Provider Business Mailing Address Details
Address
17705 Hutchins Dr Ste 201
City
Minnetonka
State
Minnesota
Zip
55345-4103
Phone Number
952-474-5239
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
D11805 (Minnesota)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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