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

Matthew Jon Stark, DDS

Individual provider General Practice Dentistry · NPI 1154519296

Matthew Jon Stark, DDS is a General Practice Dentistry in Minneapolis, Minnesota. Licensed in California and Minnesota. Registered with an NPI since 2007.

Licensed in
CA, MN
In the registry since
2007
Specialties on file
2
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

1000 E Lake St
Minneapolis, MN 55407-1617
Phone: (612) 821-2017
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence D14862 (MN)
General Practice Dentistry Taxonomy 1223G0001X · Licence 56420 (CA)

Record details

NPI number1154519296
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedOctober 12, 2007
Last updated in NPPESJune 16, 2026
Certification dateJune 16, 2026
Mailing address1000 E Lake St, Minneapolis, MN 55407-1617

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