| Sprout Pediatric Dental | |
|
1073 Oak St Ste D Pittston PA 18640-3716 | |
| (570) 253-0358 | |
| (570) 352-3395 |
| Full Name | Sprout Pediatric Dental |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 1073 Oak St Ste D, Pittston, Pennsylvania |
| Authorized Official Name and Position | Katherine Rosalie Schloesser (OWNER) |
| Authorized Official Contact | 5702530358 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sprout Pediatric Dental 554 Hamlin Hwy Lake Ariel PA 18436-9319 Ph: (570) 253-0358 | Sprout Pediatric Dental 1073 Oak St Ste D Pittston PA 18640-3716 Ph: (570) 253-0358 |
| NPI Number | 1669150355 |
|---|---|
| Provider Enumeration Date | 07/11/2023 |
| Last Update Date | 07/11/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669150355 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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