Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1346574316 Individual Practitioner Male Practitioner

Dr. Derrik Palmer Stark , DDS

Dentist - General Practice • Longview, WA

Professional Overview & Biography Verified Profile Summary

Dr. Derrik Stark, DDS is a registered healthcare professional specializing in Dentist - General Practice in Longview, WA. Practice services are available at 820 OCEAN BEACH HWY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

820 Ocean Beach Hwy
Suite 110

Longview, WA 986324080

Telephone 3605770566
Associated Practice Facility / Clinic
🏢 Longview Eye & Vision Facility NPI 1861535197

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Longview, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.3 Yrs
Regional Practice Density
28 Specialists

Practicing in Longview, WA (3345 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 WA DE 60094586

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
NPI 1386878965

Doctor of Optometry

Jackie Kiser , MA

Massage Therapist

NPI 1407220916

Master of Arts

NPI 1508925405

Doctor of Optometry

NPI 1710046610

Doctor of Optometry

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active September 23, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location September 23, 2009

Registered at 820 OCEAN BEACH HWY, SUITE 110, LONGVIEW, WA 986324080 (Tel: 3605770566)

📍
Updated Business Mailing Address September 23, 2009

Registered at 820 OCEAN BEACH HWY, SUITE 110, LONGVIEW, WA 986324080 (Tel: 3605770566)

👤
Provider Name / Credentials Updated September 23, 2009

Recorded as DERRIK STARK, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 23, 2009

Dentist (License #DE 60094586 in WA)

🟢
Initial NPI Registration & Enumeration September 23, 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: 1346574316
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 23, 2009
Last Update: September 23, 2009
Sole Proprietor: Yes

Mailing Address

820 Ocean Beach Hwy, Suite 110

Longview, WA 986324080

Phone: 3605770566

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.