Sparkle Dental PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

SPARKLE DENTAL PC

Practice address

15295 Kutztown Rd
Kutztown, PA 19530-8706

Phone

(610) 685-6955

Fax

(610) 685-6955

NPI assigned

Apr 26, 2022

Last updated

Apr 26, 2022By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Subhashini Pamulapati, DDSNPI 1043547581

Title

Owner

Phone

(732) 857-6225

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Subhashini Pamulapati, D.D.S

  • General Practice Dentistry
  • Allentown, PA
  • NPI 1043547581
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1650931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650931200000",
    "number": "1336883131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15295 KUTZTOWN RD",
            "city": "KUTZTOWN",
            "state": "PA",
            "postal_code": "195308706",
            "telephone_number": "610-685-6955",
            "fax_number": "610-685-6955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15295 KUTZTOWN RD",
            "city": "KUTZTOWN",
            "state": "PA",
            "postal_code": "195308706",
            "telephone_number": "610-685-6955",
            "fax_number": "610-685-6955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPARKLE DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-26",
        "last_updated": "2022-04-26",
        "certification_date": "2022-04-26",
        "status": "A",
        "authorized_official_last_name": "PAMULAPATI",
        "authorized_official_first_name": "SUBHASHINI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-857-6225",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebekah Slowik, PA-C
• Kayla Smith
• Kristin Anne Smith, L.S.W.
• Olivia Lauren Smith
• Sylvia Sokol, ATC
• St Luke's Hospital
• St. Luke's Physician Group, Inc (St. Luke's Kutztown Primary Care)
• Michael L Stevens, DPM
• Robert Gregory Stratton Jr., M.D.
• Aimee Diane Strick

• General Practice Dentistry in Kutztown, PA
• Providers in Kutztown, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.