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Sprout Pediatric Dental
Pediatric Dentist in Honesdale, Pennsylvania
NPI 1902525264

Sprout Pediatric Dental is a Pediatric Dentist based in Lake Ariel, PA and is specialized in Pediatric Dentistry. Sprout Pediatric Dental practices in Honesdale, PA. The NPI Number for Sprout Pediatric Dental is 1902525264 and holds a License No. (Pennsylvania).

The current practice location address for Sprout Pediatric Dental is 177 Sunrise Ave, Honesdale, PA and can be reached out via phone at 570-253-0358 and via fax at 570-352-3395.

Location: 177 Sunrise Ave, Honesdale, PA, 18436-9319
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1902525264
Provider Name
Sprout Pediatric Dental
Credential
Provider Entity Type
Organization
Address
177 Sunrise Ave, Honesdale, PA, 18436-9319
Phone Number
570-253-0358
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
102769720-0001 05 PA
institution
Provider Business Practice Location Address Details
Address
177 Sunrise Ave
City
Honesdale
State
Pennsylvania
Zip
18431-1027
Phone Number
570-253-0358
Fax Number
570-352-3395
person
Provider Business Mailing Address Details
Address
177 Sunrise Ave
City
Honesdale
State
Pennsylvania
Zip
18431-1027
Phone Number
570-253-0358
Fax Number
570-352-3395
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
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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