Organization
SPROUT PEDIATRIC DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA HANKINS DDS (OWNER/DENTIST)
(479) 970-0493
Entity
Organization
Contact information
Practice address
101 MONUMENT STE C, LOWELL, AR 72745
(479) 365-6556
Mailing address
101 MONUMENT STE C, LOWELL, AR 72745
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
02/25/2022
Last updated
02/25/2022
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