Sprout Pediatric Dentistry

NPI #1366198632 in Lowell, Arkansas

Provider Information

NPI Number: 1366198632
Entity Type: Organization
Organization Name: Sprout Pediatric Dentistry
Primary Specialty: Clinic/Center - Dental
Enumeration Date: Feb 25, 2022
Last Updated: Feb 25, 2022

Practice Location

Address: 101 MONUMENT STE C
City: Lowell
State: Arkansas
ZIP Code: 72745
Phone: (479) 365-6556

Authorized Official

Name: AMANDA HANKINS, DDS
Title: OWNER/DENTIST
Phone: (479) 970-0493

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Dental — Dental	261QD0000X	Primary

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