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Dr. Cory M. Stark D.d.s.
Pediatric Dentist in Draper, Utah
NPI 1912035163

Dr. Cory M. Stark D.d.s. is a Pediatric Dentist based in Draper, UT and is specialized in Pediatric Dentistry. Dr. Cory M. Stark D.d.s. practices in Draper, UT. The NPI Number for Dr. Cory M. Stark D.d.s. is 1912035163 and holds a License No. 144937-9923 (Utah).

The current practice location address for Dr. Cory M. Stark D.d.s. is 112 E 12450 S, Draper, UT and can be reached out via phone at 801-571-6751 and via fax at 801-571-4156.

Location: 112 E 12450 S, Draper, UT, 84020-8056
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1912035163
Provider Name
Dr. Cory M. Stark D.d.s.
Credential
Provider Entity Type
Organization
Address
112 E 12450 S, Draper, UT, 84020-8056
Phone Number
801-571-6751
Fax Number
801-571-4156
Provider Enumeration Date
03/01/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
529865775005 05 UT
institution
Provider Business Practice Location Address Details
Address
112 E 12450 S
City
Draper
State
Utah
Zip
84020-8056
Phone Number
801-571-6751
Fax Number
801-571-4156
person
Provider Business Mailing Address Details
Address
112 E 12450 S
City
Draper
State
Utah
Zip
84020-8056
Phone Number
801-571-6751
Fax Number
801-571-4156
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
144937-9923 (Utah)
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.
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