Out Of This World Dentistry
LBN: Dr. Cory M. Stark D.D.S.
Out Of This World Dentistry is an health care organization with primary practice located at 112 E 12450 S #100, Draper UT 84020-8056. The organization recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as the primary health care specialty.
Dr. Cory M. Stark D.D.S. can be contacted via phone (801) 571-6751, or through Campbell, Carrie Louise via phone (801) 571-6751.
Contact Information
Primary practice address
112 E 12450 S #100
Draper UT 84020-8056
Phone: (801) 571-6751
Fax: (801) 571-4156
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Pediatric Dentistry | 1223P0221X | 144937-9923 | Utah |
Profile Details
NPI number | 1912035163 |
---|---|
LBN Legal business name | Dr. Cory M. Stark D.D.S. |
DBA Doing business as | Out Of This World Dentistry |
Authorized official | Campbell, Carrie Louise |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Mar 1st, 2007 |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1912035163 | NPPES |
Utah | MEDICAID | 529865775005 |
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