IndividualActive
Dylan Starck, DMD, MD
NPI 1417519331 · Oral and Maxillofacial Surgery (Dentist) · Mequon, WI
Provider details
- NPI number
- 1417519331
- Entity type
- Individual
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Credential
- DMD, MD
- Sex
- Male
- Sole proprietor
- No
- License
- 2952000584 (MI)
Mailing address
2637 2nd Ave
Monroe, WI 53566-3501
Registry dates
- Enumerated
- 2019-07-01
- Last updated
- 2025-06-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.