Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Dr. Frederick Wayne Stark, DDS

Individual provider General Practice Dentistry · NPI 1699901595

Dr. Frederick Wayne Stark, DDS practises 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

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