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Organization

SPARK ORTHODONTICS, P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JASON MICHAEL HARTMAN D.M.D, M.S. (PRESIDENT/ORTHODONTIST)
(610) 865-2777
Entity
Organization

Contact information

Practice address
701 W UNION BLVD, SUITE 11, BETHLEHEM, PA 18018-3700
(610) 865-2777
(610) 865-1099
Mailing address
5318 ALLENTOWN PIKE, TEMPLE, PA 19560-1249
(610) 865-2777
(610) 929-1110

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DS038055
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1023923970001
PA
Enumeration date
01/10/2010
Last updated
08/12/2022
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