Cory Morris Stark in Draper - Pediatric Dentistry
Cory Morris Stark - NPI 1962592329
Cory Morris Stark is a Pediatric Dentistry in Draper, Utah. Cory Morris Stark practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Cory Morris Stark is 1962592329. The last update date is 2007-07-08.
Cory Morris Stark's current location address is 112 East 12450 South, Draper, Utah. You can contact this provider via phone number 8015716751 and fax number 8015714156. The mailing address for Cory Morris Stark is 112 East 12450 South, Draper, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Cory Morris Stark |
|---|---|
| Address | 112 East 12450 South, Draper, Utah |
| Phone Number | 8015716751 |
| Fax Number | 8015714156 |
| Sole Proprietor | N |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1962592329 |
|---|---|
| Provider Enumeration Date | 2006-10-13 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 112 East 12450 South |
|---|---|
| City | Draper |
| State | Utah (UT) |
| Post Code | 84020 |
| Phone Number | 8015716751 |
| Fax Number | 8015714156 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 144937-9923 |
|
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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Post Comment/ Review Below
What is the Cory Morris Stark's 1962592329?
The Cory Morris Stark's NPI (National Provider Identifier) Number is 1962592329. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Cory Morris Stark?
The Cory Morris Stark is situated at 112 East 12450 South, in the city of Draper, state of UT, with the zip code 84020.
What is Cory Morris Stark's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Cory Morris Stark is Pediatric Dentistry, and the taxonomy code that categorizes this field of expertise is 1223P0221X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1962592329 to Cory Morris Stark?
The Centers for Medicare & Medicaid Services originally issued the 1962592329 to Cory Morris Stark on 2006-10-13.
When was the information pertaining to Cory Morris Stark most recently updated or revised?
The details related to Cory Morris Stark, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.
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