Stark, Heidi J.
Stark, Heidi J. is an individual health care provider with primary practice located at 3272 Salt Creek Cir Suite A, Lincoln NE 68504-4759. She recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as her primary health care specialty. Stark, Heidi J. can be contacted via phone (402) 476-1500.Contact Information
Primary practice address
3272 Salt Creek Cir Suite A
Lincoln NE 68504-4759
Phone: (402) 476-1500
Fax: (402) 476-1510
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Pediatric Dentistry | 1223P0221X | 6310 | Nebraska |
Profile Details
NPI number | 1336137801 |
---|---|
LBN Legal business name | Stark, Heidi J. |
Credentials | Doctor of Dental Surgery (DDS) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 10th, 2005 |
Last updated | Jan 4th, 2024 - about last year |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1336137801 | NPPES |
Nebraska | Other | 6310 | LICENSE# |
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