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:
Health care specialties
| Specialty | Code | License # | 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.
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