Organization
SPARK ORTHODONTICS, P.C.
Active
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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