OrganizationActive
Brian A. Stark, D.D.S., S.c.
NPI 1609930627 · Dental Clinic/Center · Menomonee Falls, WI
Provider details
- NPI number
- 1609930627
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Brian Stark, President(262) 251-6555
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
N84w15959 Appleton Ave
Menomonee Falls, WI 53051-3044
Phone: (262) 251-6555
Fax: (262) 251-9518
Approximate (ZIP-level) locationGet directions
Mailing address
N84w15959 Appleton Ave
Menomonee Falls, WI 53051-3044
Other names (DBA / former)
- Doing business as
- Avenue Dental Group
Registry dates
- Enumerated
- 2006-12-21
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.