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
Phone: (541) 672-2872
Fax: (541) 672-6885
Website:
Health care specialties
Specialty | Code | License # | 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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