Heidi J. Stark in Lincoln - Pediatric Dentistry
Heidi J. Stark - NPI 1336137801
Heidi J. Stark is a Pediatric Dentistry in Lincoln, Nebraska. Heidi J. Stark practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Heidi J. Stark is 1336137801. The last update date is 2013-07-18.
Heidi J. Stark's current location address is 3272 Salt Creek Cir, Lincoln, Nebraska. You can contact this provider via phone number 4024761500 and fax number 4024761510. The mailing address for Heidi J. Stark is 3272 Salt Creek Cir, Lincoln, Nebraska. To know further, please read the information below!
Provider Profile Detail
Provider Name | Heidi J. Stark |
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Address | 3272 Salt Creek Cir, Lincoln, Nebraska |
Phone Number | 4024761500 |
Fax Number | 4024761510 |
Sole Proprietor | N |
Credentials | D.D.S. |
NPI Number Detail
NPI Number | 1336137801 |
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Provider Enumeration Date | 2005-10-10 |
Last Updated Date | 2013-07-18 |
Provider Mailing Address Detail
Address | 3272 Salt Creek Cir |
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City | Lincoln |
State | Nebraska (NE) |
Post Code | 685044759 |
Phone Number | 4024761500 |
Fax Number | 4024761510 |
Provider's Primary Taxonomy Detail
Speciality | Pediatric Dentistry |
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Taxonomy | 1223P0221X |
Licence No | 6310 |
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. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
6310 | NE | LICENSE# |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Heidi J. Stark by the Centers for Medicare & Medicaid Services?
The Heidi J. Stark has been issued the NPI (National Provider Identifier) 1336137801 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Heidi J. Stark's facilities are geographically located?
The facilities of Heidi J. Stark are physically situated at the following location: 3272 Salt Creek Cir, Lincoln, NE, 685044759.
What is Heidi J. Stark's specialized field of practice, and what is the corresponding taxonomy classification code?
The Heidi J. Stark's area of specialization is Pediatric Dentistry, and the corresponding taxonomy code that categorizes this field of practice is 1223P0221X.
On what date did the Heidi J. Stark receive its 1336137801 assignment from the Centers for Medicare & Medicaid Services?
The Heidi J. Stark was assigned its 1336137801 by the Centers for Medicare & Medicaid Services on 2005-10-10.
As of what date was the information regarding Heidi J. Stark, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Heidi J. Stark, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2013-07-18.