Organization
SPARK ORTHODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON M HARTMAN D.M.D., M.S (DOCTOR/OWNER)
(610) 865-2777
Entity
Organization
Contact information
Practice address
5021 ROUTE 873, SCHNECKSVILLE, PA 18078-2213
(610) 865-2777
(610) 865-1099
Mailing address
5021 ROUTE 873, SCHNECKSVILLE, PA 18078-2213
(610) 865-2777
(610) 865-1099
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DS038055
PA
Other
Enumeration date
07/23/2015
Last updated
07/23/2015
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