| Sprout Pediatric Dental | |
|
554 Hamlin Highway Lake Ariel PA 18436-9319 | |
| (570) 253-0358 | |
| Not Available |
| Full Name | Sprout Pediatric Dental |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 554 Hamlin Highway, Lake Ariel, 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 554 Hamlin Highway Lake Ariel PA 18436-9319 Ph: (570) 253-0358 |
| NPI Number | 1528319993 |
|---|---|
| Provider Enumeration Date | 09/26/2012 |
| Last Update Date | 03/19/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528319993 | NPI | - | NPPES |
| 102202080 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
Ariel Dental Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 358 Hamlin Hwy, Ste 2, Lake Ariel, PA 18436 Phone: 570-689-2449 Fax: 866-658-1522 |