Individual
DR. HEIDI J. STARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
3272 SALT CREEK CIR, SUITE A, LINCOLN, NE 68504-4759
(402) 476-1500
(402) 476-1510
Mailing address
3272 SALT CREEK CIR, SUITE A, LINCOLN, NE 68504-4759
(402) 476-1500
(402) 476-1510
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
6310
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6310
LICENSE#
NE
Enumeration date
10/10/2005
Last updated
01/04/2024
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