Stark, Robert Adrian

Stark, Robert Adrian is an sole proprietor health care provider with primary practice located at 6801 Isaacs Orchard Rd Ste 101 , Springdale AR 72762-6798. He recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Dentist. Dental Providers / Dentist is his primary health care specialty. Stark, Robert Adrian can be contacted via phone (479) 717-2904.

Contact Information

Primary practice address
6801 Isaacs Orchard Rd Ste 101 Springdale AR 72762-6798
Phone: (479) 717-2904
Fax: (501) 423-8910
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 5514 Oklahoma
Dental Providers / Dentist 122300000X 3348 Arkansas

Profile Details

NPI number 1427087352
LBN Legal business name Stark, Robert Adrian
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 2nd, 2006
Last updated Jan 13th, 2021 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1427087352 NPPES
Arkansas MEDICAID 174669608

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