DR. CORY M. STARK D.D.S. NPI 1912035163

NPI Information

DR. CORY M. STARK D.D.S. is a pediatric dentistry dentist in Draper, UT. The provider is 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. DR. CORY M. STARK D.D.S. NPI is 1912035163. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Out Of This World Dentistry.

The provider's business location address is:

112 E 12450 S
#100
DRAPER, UT
ZIP 84020-056
Phone: (801) 571-6751
Fax: (801) 571-4156

The provider's authorized official is Carrie Louise Campbell .
The authorized official title is Business Manager and has the following contact phone number (801) 571-6751.

The enumeration date for this NPI number is 3/1/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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