Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Frederick Wayne Stark, DDS

Individual provider General Practice Dentistry · NPI 1699901595

Dr. Frederick Wayne Stark, DDS is a General Practice Dentistry in Derby, Kansas. Licensed in Kansas. Registered with an NPI since 2009.

Licensed in
KS
In the registry since
2009
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

1710 E Madison Ave Ste 600
Derby, KS 67037-2285
Phone: (316) 788-4000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 60680 (KS)

Record details

NPI number1699901595
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedJune 5, 2009
Last updated in NPPESJanuary 3, 2019
Mailing address700 N Maple St, McPherson, KS 67460-3325

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