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
Fax: (402) 476-1510
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336137801 NPPES
Nebraska Other 6310 LICENSE#

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