| Spark Orthodontics, P.c. | |
|
701 W Union Blvd Suite 11 Bethlehem PA 18018-3700 | |
| (610) 865-2777 | |
| (610) 865-1099 |
| Full Name | Spark Orthodontics, P.c. |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 701 W Union Blvd, Bethlehem, Pennsylvania |
| Authorized Official Name and Position | Jason Michael Hartman (PRESIDENT/ORTHODONTIST) |
| Authorized Official Contact | 6108652777 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Spark Orthodontics, P.c. 5318 Allentown Pike Temple PA 19560-1249 Ph: (610) 865-2777 | Spark Orthodontics, P.c. 701 W Union Blvd Suite 11 Bethlehem PA 18018-3700 Ph: (610) 865-2777 |
| NPI Number | 1881924140 |
|---|---|
| Provider Enumeration Date | 01/10/2010 |
| Last Update Date | 08/12/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881924140 | NPI | - | NPPES |
| 1023923970001 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | DS038055 (Pennsylvania) | Primary |
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