Stark, Johnnie Lee

Stark, Johnnie Lee is an individual health care provider with primary practice located at 2816 Parklawn Drive Suite 1, Midwest City OK 73110-4212. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Stark, Johnnie Lee can be contacted via phone (405) 737-7628.

Contact Information

Primary practice address
2816 Parklawn Drive Suite 1 Midwest City OK 73110-4212
Phone: (405) 737-7628
Fax: (405) 741-2977
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X OK3412 Oklahoma

Profile Details

NPI number 1982714085
LBN Legal business name Stark, Johnnie Lee
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Jul 8th, 2007 - about 18 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.

Request for update

Popular Providers