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Active NPI 1699901595 Individual Practitioner Male Practitioner

Dr. Frederick Wayne Stark , DDS

Dentist - General Practice • Derby, KS

Professional Overview & Biography Verified Profile Summary

Dr. Frederick Stark, DDS is a registered healthcare professional specializing in Dentist - General Practice in Derby, KS. Practice services are available at 1710 E MADISON AVE STE 600 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1710 E Madison Ave Ste 600

Derby, KS 670372285

Telephone 3167884000
Associated Practice Facility / Clinic
🏢 Aaron Reilender D.d.s., Pa Facility NPI 1639218902

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Derby, KS

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 17.8 Yrs
Regional Practice Density
13 Specialists

Practicing in Derby, KS (1140 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License KS 60680

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
📍
Updated Practice Location January 03, 2019

Registered at 1710 E MADISON AVE STE 600, DERBY, KS 670372285 (Tel: 3167884000)

✅
NPI Profile Active September 10, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location September 10, 2013

Registered at 700 N MAPLE ST, MCPHERSON, KS 674603325 (Tel: 6202415000)

📍
Updated Business Mailing Address September 10, 2013

Registered at 700 N MAPLE ST, MCPHERSON, KS 674603325 (Tel: 6202415000)

👤
Provider Name / Credentials Updated September 10, 2013

Recorded as FREDERICK STARK, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 10, 2013

Dentist (License #60680 in KS)

🟢
Initial NPI Registration & Enumeration June 05, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1699901595
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 05, 2009
Last Update: January 03, 2019
Sole Proprietor: No
Update or Correct Profile

Mailing Address

700 N Maple St

Mcpherson, KS 674603325

Phone: 6202415000

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.