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NPI 1548676414

Haley Stark, D.M.D.

Dentist, General Practice · Woodstock, GA

Active in the CMS NPI RegistryNot on the OIG exclusion listchecked Oct 16, 2026, 1:09 pm EDT

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Haley Stark, D.M.D. is a health care provider (Dentist, General Practice) in Woodstock, Georgia with National Provider Identifier (NPI) 1548676414. The NPI was issued on Jul 10, 2014 and the registry record was last updated on Dec 12, 2022. The registry lists a license in Georgia.

Registry record

NPI
1548676414
Type
Individual (NPI-1)
Primary specialty
Dentist, General Practice 1223G0001X
Practice location
6759 Hickory Rd
Woodstock, GA 30188-2019
Phone
(678) 540-1680
NPI issued
Jul 10, 2014
Registry record updated
Dec 12, 2022

Specialties and licenses

SpecialtyTaxonomy codeLicense stateLicense
Dentist, General Practice Primary1223G0001XGeorgiaDN014792

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General Practice Dentistry providers in Georgia

Source: CMS National Plan and Provider Enumeration System (NPPES) and the HHS-OIG List of Excluded Individuals/Entities (list of Oct 9, 2026). Is this your record? Update it in NPPES or email info@2minutemedicine.com to have it hidden here.