Individual
DR. FREDERICK STARK IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3960 RIVER POINT PKWY UNIT A, SHERIDAN, CO 80110-3315
(303) 781-2340
Mailing address
1274 SMOKEY ROW LN, CARMEL, IN 46033-1949
(317) 519-8074
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DEN.00204708
CO
Other
Enumeration date
05/24/2021
Last updated
05/24/2021
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