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

Dr. Kelly Kristine Stark, DDS

Individual provider General Practice Dentistry · NPI 1629137054

Dr. Kelly Kristine Stark, DDS is a General Practice Dentistry in Minnetonka, Minnesota. Licensed in Minnesota. Registered with an NPI since 2006.

Licensed in
MN
In the registry since
2006
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

17705 Hutchins Dr Ste 201
Minnetonka, MN 55345-4103
Phone: (952) 474-5239
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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 D11805 (MN)

Record details

NPI number1629137054
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS
Sole proprietorNo
NPI enumeratedDecember 8, 2006
Last updated in NPPESAugust 1, 2024
Certification dateAugust 1, 2024

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