institution
Sprout Pediatric Dental
Pediatric Dentist in Kingston, Pennsylvania
NPI 1558080804

Sprout Pediatric Dental is a Pediatric Dentist based in Lake Ariel, PA and is specialized in Pediatric Dentistry. Sprout Pediatric Dental practices in Kingston, PA. The NPI Number for Sprout Pediatric Dental is 1558080804 and holds a License No. (Pennsylvania).

The current practice location address for Sprout Pediatric Dental is 487 Northampton St, Kingston, PA and can be reached out via phone at 267-324-7933 and via fax at 570-352-3395.

Location: 487 Northampton St, Kingston, PA, 18436-9319
institution
Provider Profile Details
NPI Number
1558080804
Provider Name
Sprout Pediatric Dental
Credential
Provider Entity Type
Organization
Address
487 Northampton St, Kingston, PA, 18436-9319
Phone Number
267-324-7933
Fax Number
570-352-3395
Provider Enumeration Date
08/22/2022
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
102769720-0003 05 PA
institution
Provider Business Practice Location Address Details
Address
487 Northampton St
City
State
Zip
18704-4509
Phone Number
267-324-7933
Fax Number
570-352-3395
person
Provider Business Mailing Address Details
Address
487 Northampton St
City
State
Zip
18704-4509
Phone Number
267-324-7933
Fax Number
570-352-3395
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
License No.
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Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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