Organization
SPROUT PEDIATRIC DENTAL
Active
Parent organization
SPROUT PEDIATRIC DENTAL
Organization subpart
Yes
Provider details
NPI number
Legal business name
SPROUT PEDIATRIC DENTAL
Authorized official
DR. KATHERINE ROSALIE SCHLOESSER DMD (PEDIATRIC DENTIST)
(570) 253-0358
Entity
Organization
Contact information
Practice address
541 PIERCE ST, KINGSTON, PA 18704
(267) 324-7933
(570) 352-3395
Mailing address
554 HAMLIN HWY, LAKE ARIEL, PA 18436-9319
(267) 324-7933
(570) 352-3395
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102769720-0008
—
PA
Enumeration date
08/22/2022
Last updated
03/12/2025
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