IndividualActive
Madelyn Fletcher-Stark, DDS
NPI 1528392115 · Prosthodontics · Albuquerque, NM
Provider details
- NPI number
- 1528392115
- Entity type
- Individual
- Primary specialty
- ProsthodonticsDental Providers
- Credential
- DDS
- Sex
- Female
- Sole proprietor
- No
- License
- 47259 (CA)
Specialties & taxonomies
Dental Providers
Dental Providers
Practice location
8521 Golf Course Rd Nw Ste 116
Albuquerque, NM 87114-4549
Phone: (505) 897-6453
Approximate (ZIP-level) locationGet directions
Mailing address
8521 Golf Course Rd Nw Ste 116
Albuquerque, NM 87114-4549
Registry dates
- Enumerated
- 2009-09-29
- Last updated
- 2017-10-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.