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
KATHERINE ROSALIE SCHLOESSER DMD (DMD/OWNER)
(570) 253-0358
Entity
Organization
Contact information
Practice address
177 SUNRISE AVE, HONESDALE, PA 18431-1027
(570) 253-0358
(570) 352-3395
Mailing address
554 HAMLIN HWY, LAKE ARIEL, PA 18436-9319
(267) 324-7933
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102769720-0001
—
PA
Enumeration date
08/22/2022
Last updated
08/22/2022
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