Organization · Type 2 NPI

Sprout Pediatric Dental

Pediatric Dentistry · Kingston, PA

NPI number 1558080804 Active

Practice location

541 Pierce St
Kingston, PA 18704

Fax (570) 352-3395

Mailing address

554 Hamlin Hwy
Lake Ariel, PA 18436-9319

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221XNone listed

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

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About NPI 1558080804

Sprout Pediatric Dental's National Provider Identifier is 1558080804, issued on Aug 22, 2022. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Kingston, PA. The record was last updated on Mar 12, 2025.