Dr Kelly Kristine Stark, DDS | |
17705 Hutchins Dr Ste 201, Minnetonka, MN 55345-4103 | |
(952) 474-5239 | |
Not Available |
Full Name | Dr Kelly Kristine Stark |
---|---|
Gender | Female |
Speciality | Dentist - General Practice |
Location | 17705 Hutchins Dr Ste 201, Minnetonka, Minnesota |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1629137054 | NPI | - | NPPES |
323627700 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | D11805 (Minnesota) | Primary |
Mailing Address | Practice Location Address |
---|---|
Dr Kelly Kristine Stark, DDS 5212 Logan Ave S, Minneapolis, MN 55419-1022 Ph: (612) 922-9474 | Dr Kelly Kristine Stark, DDS 17705 Hutchins Dr Ste 201, Minnetonka, MN 55345-4103 Ph: (952) 474-5239 |
Dr. Alex William Scott, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 5509 Eden Prairie Road, Suite A, Minnetonka, MN 55345 Phone: 952-938-6038 Fax: 952-935-9175 | |
Dr. Holger Peter Meiser, DDS, DR. MED.DENT. Dentist Medicare: Not Enrolled in Medicare Practice Location: 17601 Highway 7 Ste 200, Minnetonka, MN 55345 Phone: 952-217-5201 | |
Dr. Jeffrey Paul Foster, D.D.S., M.S.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 11601 Minnetonka Mills Rd Ste B40, Minnetonka, MN 55305 Phone: 952-933-1361 Fax: 952-933-9770 | |
Dr. Gregory John Kemmitt, DDS Dentist Medicare: Medicare Enrolled Practice Location: 11601 Minnetonka Mills Rd, Minnetonka, MN 55305 Phone: 952-938-8858 | |
Dr. Kylie Marie Knapp, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 11601 Minnetonka Mills Rd, Minnetonka, MN 55305 Phone: 952-938-8858 | |
Dr. Michelle Louise Bergsrud, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 6060 Clearwater Dr, Suite 230, Minnetonka, MN 55343 Phone: 952-938-8882 | |
Justin J Mchugh, DDS Dentist Medicare: Medicare Enrolled Practice Location: 11601 Minnetonka Mills Rd, Minnetonka, MN 55305 Phone: 952-938-8858 Fax: 952-938-1992 |