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Dr. Michele Debra Stark, DMD
General Practice Dentistry in Worden, Illinois
NPI 1942429048

Michele Debra Stark is a General Practice Dentistry based in Worden, IL and is specialized in General Practice. Michele Debra Stark practices in Worden, IL and has the professional credentials of DMD. The NPI Number for Michele Debra Stark is 1942429048 and holds a License No. (Illinois).

The current practice location address for Michele Debra Stark is 224 E Wall St, Worden, IL and can be reached out via phone at 618-459-3626 and via fax at 618-459-7507.

Location: 224 E Wall St, Worden, IL, 62097-1306
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1942429048
Provider Name
Michele Debra Stark
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
224 E Wall St, Worden, IL, 62097-1306
Phone Number
618-459-3626
Fax Number
618-459-7507
Provider Enumeration Date
04/25/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1003853 05 IL
institution
Provider Business Practice Location Address Details
Address
224 E Wall St
City
Worden
State
Illinois
Zip
62097-1306
Phone Number
618-459-3626
Fax Number
618-459-7507
person
Provider Business Mailing Address Details
Address
224 E Wall St
City
Worden
State
Illinois
Zip
62097-1306
Phone Number
618-459-3626
Fax Number
618-459-7507
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
(Illinois)
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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