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Mr. Johnnie Lee Stark, DDS
General Practice Dentistry in Midwest City, Oklahoma
NPI 1982714085

Johnnie Lee Stark is a General Practice Dentistry based in Midwest City, OK and is specialized in General Practice. Johnnie Lee Stark practices in Midwest City, OK and has the professional credentials of DDS. The NPI Number for Johnnie Lee Stark is 1982714085 and holds a License No. OK3412 (Oklahoma).

The current practice location address for Johnnie Lee Stark is 2816 Parklawn Drive, Midwest City, OK and can be reached out via phone at 405-737-7628 and via fax at 405-741-2977.

Location: 2816 Parklawn Drive, Midwest City, OK, 73110-4212
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1982714085
Provider Name
Johnnie Lee Stark
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
2816 Parklawn Drive, Midwest City, OK, 73110-4212
Phone Number
405-737-7628
Fax Number
405-741-2977
Provider Enumeration Date
08/30/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
2816 Parklawn Drive
City
Midwest City
State
Oklahoma
Zip
73110-4212
Phone Number
405-737-7628
Fax Number
405-741-2977
person
Provider Business Mailing Address Details
Address
2816 Parklawn Drive
City
Midwest City
State
Oklahoma
Zip
73110-4212
Phone Number
405-737-7628
Fax Number
405-741-2977
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
OK3412 (Oklahoma)
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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