MADELYN LUCILLE FLETCHER-STARK


Address: 8521 Golf Course Rd Nw Ste 116, Albuquerque, NM 87114-4549
Phone: 5058976453

MADELYN LUCILLE FLETCHER-STARK (NPI# 1528392115) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1528392115
Entity Type Individual
Full Name MADELYN LUCILLE FLETCHER-STARK
Credential DDS
Practice Address 8521 Golf Course Rd Nw Ste 116
Albuquerque
NM 87114-4549
Practice Telephone 5058976453
Mailing Telephone 5058976453
Enumeration Date 2009-09-29
Last Update Date 2017-10-17
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223P0700X Dentist
Specialization: Prosthodontics
DD4508 NM Dental Providers
N 1223P0700X Dentist
Specialization: Prosthodontics
47259 CA Dental Providers

Other Provider Identifier

State Issuer Identifier Type Code
CA LICENSE NUMBER 47259 01

Office Location

Street Address 8521 GOLF COURSE RD NW STE 116
City ALBUQUERQUE
State NM
Zip Code 87114-4549

Providers in the same location

NPI Name Taxonomy Address Enumeration
1205901972 Lisa Washburn Arnhart Dentist 8521 Golf Course Rd Nw Ste 116, Albuquerque, NM 87114-4549 2006-11-21
1063989622 Dental House Golf Course, LLC Clinic/Center 8521 Golf Course Rd Nw Ste 116, Albuquerque, NM 87114-4549 2018-10-31

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1891331773 Head To Toe Wellness, LLC Counselor 4619 Greene Ave, Suite D, Albuquerque, NM 87114 2019-11-26
1255896353 32 Degrees Genuine, LLC Counselor 10143 4th St Nw, Albuquerque, NM 87114 2019-02-04
1548789365 Maureen Chavez Occupational Therapist 10501 Golf Course, Albuquerque, NM 87114 2017-09-13
1982149043 Professional Case Coordination Services LLC Case Management 4401 Aspen Glade Dr Nw, Albuquerque, NM 87114 2016-12-28
1124494323 Geri Davis Nurse Practitioner 10511 Golf Course Rd Nw Ste 203, Albuquerque, NM 87114 2015-08-11
1427432111 Marcia Nicole Cowen Nurse Practitioner 9210 Golfcourse Rd Nw, Albuquerque, NM 87114 2015-07-13
1013315399 Amy Brown Counselor 707 Broadway Blvd. Ne, Suite 500, Albuquerque, NM 87114 2014-12-18
1851793392 Elaine Barbara Beckett Pharmacist 10224 Coors-by-pass Nw, Albuquerque, NM 87114 2014-09-16
1174924344 Sherrica Cressor Counselor 20 Pond Road, County Road 11, Cuba, NM 87114 2014-09-08
1427467513 Colleen Temkin Pharmacist 10224 Coors By Pass Nw, Albuquerque, NM 87114 2014-08-04
Find all providers in zip 87114

Taxonomy Information

Taxonomy Code 1223P0700X
Grouping Dental Providers
Classification Dentist
Specialization Prosthodontics

Taxonomy Definition

That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1144475518 David A. Irvin Dentist 6830 Montgomery Blvd. Ne, Suite C, Albuquerque, NM 87109-1455 2008-11-26
1366447898 Marc Bernard Appelbaum Dentist 1801 Camino De Salud Ne, Albuquerque, NM 87102-4516 2005-06-21
1730512245 Diana N Ulrickson Dentist 801 Encino Pl Ne Ste A3, Albuquerque, NM 87102-2639 2013-08-20
1194013805 Darren Carl Norby Dentist 8400 Osuna Rd Ne, Suite 1c, Albuquerque, NM 87111-2087 2011-07-14
1982778387 Phillip Allen Cook Dentist 8400 Osuna Rd Ne, Suite 1c, Albuquerque, NM 87111-2087 2006-11-17
1336250521 David Ray Jimenez Dentist 9204 Menaul Blvd Ne, 3, Albuquerque, NM 87112-2256 2006-08-31
1831105865 Arthur Burton Melton Dentist 7520 Montgomery Blvd Ne, Suite D-3, Albuquerque, NM 87109-1521 2006-07-31
1013934041 Dai Chinh Phan Dentist 1501 San Pedro Dr Se, Albuquerque, NM 87108-5153 2006-07-16
1336131267 Stephen A. Wagner Dentist 801 Encino Pl Ne, Suite A-3, Albuquerque, NM 87102-2612 2005-08-17

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1588672752 Ann L Ortega Dentist 1594 Sara Rd Se, Rio Rancho, NM 87124-1862 2006-08-04
1063478618 Mitchell R. Wilkinson Dentist Po Box 187, Dulce, NM 87528-0187 2006-04-24
1841288669 August Joseph Kaleta Dentist Us Highway 491 N, Shiprock, NM 87420 2005-10-06
1952810715 Hendricks Dental Group, LLC Dentist 444 Saint Michaels Dr Ste B, Santa Fe, NM 87505-7674 2017-09-25
1659574176 Marion Lawrence Larragoite Dentist 2904 Rodeo Park Dr E, Suite 400-b, Santa Fe, NM 87505-6305 2007-06-11

Competitor

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City ALBUQUERQUE
Zip Code 87114

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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