Individual
DR. JOHN KYLE STARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
3000 BUSINESS PARK CIR STE 100, GOODLETTSVILLE, TN 37072-3182
(615) 855-3088
Mailing address
3000 BUSINESS PARK CIR STE 100, GOODLETTSVILLE, TN 37072-3182
(855) 308-8615
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DL11938
MA
1223P0221X
Pediatric Dentistry
Primary
10136
TN
Other
Enumeration date
08/13/2013
Last updated
11/29/2023
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