Provider Demographics
NPI:1972475473
Name:STAR DENTAL PLLC
Entity type:Organization
Organization Name:STAR DENTAL PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGING MEMEBER
Authorized Official - Prefix:MRS
Authorized Official - First Name:FLORINA
Authorized Official - Middle Name:
Authorized Official - Last Name:MENINA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:416-587-5782
Mailing Address - Street 1:1490 S SHERIDAN BLVD
Mailing Address - Street 2:UNIT 102, 103
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80232
Mailing Address - Country:US
Mailing Address - Phone:303-222-1414
Mailing Address - Fax:
Practice Address - Street 1:1490 S SHERIDAN BLVD
Practice Address - Street 2:UNIT 102, 103
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80232
Practice Address - Country:US
Practice Address - Phone:303-222-1414
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-23
Last Update Date:2025-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental