Matthew Jon Stark is a Minneapolis, Minnesota based Dentist who is specialized in
General Practice Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Matthew Jon Stark is
D14862 for Dentistry in Minnesota. His current practice location is
1000 E Lake St, Minneapolis. Patients can reach him at
612-821-2017.
Matthew Jon Stark is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Matthew Jon Stark speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Matthew Jon Stark |
| Specialization: | Dentist |
| Gender: | Male |
| Credentials: | DDS |
| Accepts Medicare Assignment: | No |
| Practice Address: | 1000 E Lake St, Minneapolis, Minnesota, 55407-1617 |
| Phone: | 612-821-2017 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1154519296 |
| NPI Enumeration Date: | 12 Oct, 2007 |
| NPI Last Update On: | 16 Jun, 2026 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Matthew Jon Stark are as mentioned below.
| License Number | Specialization | State | Status | |
| D14862 | Dentistry | Minnesota | Primary | |
| 56420 | General Practice Dentistry | California | Secondary | |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 1000 E Lake St, Minneapolis, Minnesota |
| Zip: | 55407-1617 |
| Phone Number: | 612-821-2017 |
Patients can reach Matthew Jon Stark at
1000 E Lake St, Minneapolis, Minnesota or can
call to book an appointment on 612-821-2017.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
13 July, 2026.