# SPARK ORTHODONTICS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1851776553
- **Authorized official:** DR. JASON M HARTMAN D.M.D., M.S (DOCTOR/OWNER)
- **Authorized official phone:** (610) 865-2777

## Contact information

- **Practice address:** 5021 ROUTE 873, SCHNECKSVILLE, PA 18078-2213
- **Practice address phone:** (610) 865-2777
- **Practice address fax:** (610) 865-1099
- **Mailing address:** 5021 ROUTE 873, SCHNECKSVILLE, PA 18078-2213
- **Mailing address phone:** (610) 865-2777
- **Mailing address fax:** (610) 865-1099

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | DS038055 | PA | Yes |

## Other

- **Enumeration date:** 07/23/2015
- **Last updated:** 07/23/2015