Sprout Pediatric Dental
Dentist, Pediatric Dentistry in Kingston, PA. Organization (NPI-2).
NPI number1558080804
StatusActive
Last updated in NPPESMar 12, 2025
Details
- NPI
- 1558080804
- Entity type
- Organization (NPI-2)
- Legal business name
- Sprout Pediatric Dental
- Organization subpart
- Yes
- Enumeration date
- Aug 22, 2022
- Certification date
- Mar 10, 2025
- Last updated
- Mar 12, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223P0221X | Dentist, Pediatric Dentistry | – | – | Yes |
Practice location
541 Pierce StKingston, PA 18704
Phone 267-324-7933 · Fax 570-352-3395
Mailing address
554 Hamlin HwyLake Ariel, PA 18436-9319
Phone 267-324-7933 · Fax 570-352-3395
Authorized official
Katherine Rosalie Schloesser
Pediatric Dentist
5702530358
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