Matthew Jon Stark in Santa Rosa - General Practice

Matthew Jon Stark - NPI 1154519296

Matthew Jon Stark is a General Practice in Santa Rosa, California. Matthew Jon Stark practices all healthcare services and medical treatments related to General Practice. The NPI Number for Matthew Jon Stark is 1154519296. The last update date is 2012-08-06.

Matthew Jon Stark's current location address is 144 Stony Point Rd, Santa Rosa, California. You can contact this provider via phone number 7075214600 and fax number 7075214620. The mailing address for Matthew Jon Stark is 144 Stony Point Rd, Santa Rosa, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Matthew Jon Stark
Address 144 Stony Point Rd, Santa Rosa, California
Phone Number 7075214600
Fax Number 7075214620
Sole Proprietor N
Credentials DDS

NPI Number Detail

NPI Number 1154519296
Provider Enumeration Date 2007-10-12
Last Updated Date 2012-08-06

Provider Mailing Address Detail

Address 144 Stony Point Rd
City Santa Rosa
State California (CA)
Post Code 954014122
Phone Number 7075214600
Fax Number 7075214620

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 56420
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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FAQs about Matthew Jon Stark

What is the Matthew Jon Stark's unique identification number?

The Matthew Jon Stark has been assigned the NPI (National Provider Identifier) Number 1154519296 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you provide the complete physical address where Matthew Jon Stark is located?

The Matthew Jon Stark is situated at the following address: 144 Stony Point Rd, Santa Rosa, CA, 954014122.

What is Matthew Jon Stark's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Matthew Jon Stark is General Practice, and the corresponding taxonomy classification code for this specialized field is 1223G0001X.

On what date was the 1154519296 assigned to Matthew Jon Stark?

The Matthew Jon Stark was issued its 1154519296 on 2007-10-12, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding Matthew Jon Stark, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Matthew Jon Stark, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2012-08-06.

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