Avenue Dental Group

LBN: Brian A. Stark, D.D.S., S.C.
Avenue Dental Group is an health care organization with primary practice located at N84W15959 Appleton Ave , Menomonee Falls WI 53051-3044. The organization recently has only one registered license in Ambulatory Health Care Facilities / Dental, which is considered as the primary health care specialty. Brian A. Stark, D.D.S., S.C. can be contacted via phone (262) 251-6555, or through Stark, Brian Anthony via phone (262) 251-6555.

Contact Information

Primary practice address
N84W15959 Appleton Ave Menomonee Falls WI 53051-3044
Phone: (262) 251-6555
Fax: (262) 251-9518
Website:
Map and Directions
Authorized official contact:
Name: Stark, Brian Anthony Doctor of Dental Surgery (DDS)
Phone: (262) 251-6555

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Dental 261QD0000X

Profile Details

NPI number 1609930627
LBN Legal business name Brian A. Stark, D.D.S., S.C.
DBA Doing business as Avenue Dental Group
Authorized official Stark, Brian Anthony Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 21st, 2006
Last updated Aug 22nd, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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