Stark, Geoffrey A

Stark, Geoffrey A is an sole proprietor health care provider with primary practice located at 1602 Nw Hughwood Ct , Roseburg OR 97470-8844. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Stark, Geoffrey A can be contacted via phone (541) 672-2872.

Contact Information

Primary practice address
1602 Nw Hughwood Ct Roseburg OR 97470-8844
Fax: (541) 672-6885
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 5542 Oregon

Profile Details

NPI number 1326131970
LBN Legal business name Stark, Geoffrey A
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 2nd, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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