Larry Wilson Spradley in Fort Worth - Oral And Maxillofacial Surgery
Larry Wilson Spradley - NPI 1386637536
Larry Wilson Spradley is a Oral And Maxillofacial Surgery in Fort Worth, Texas. Larry Wilson Spradley practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Larry Wilson Spradley is 1386637536. The last update date is 2011-02-18.
Larry Wilson Spradley's current location address is 4224 Heritage Trace Pkwy Ste 304, Fort Worth, Texas. You can contact this provider via phone number 8177412200 and fax number 8177412216. The mailing address for Larry Wilson Spradley is 4224 Heritage Trace Pkwy Ste 304, Fort Worth, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Larry Wilson Spradley |
|---|---|
| Address | 4224 Heritage Trace Pkwy Ste 304, Fort Worth, Texas |
| Phone Number | 8177412200 |
| Fax Number | 8177412216 |
| Sole Proprietor | Y |
| Credentials | D.D.S., M. |
NPI Number Detail
| NPI Number | 1386637536 |
|---|---|
| Provider Enumeration Date | 2005-08-23 |
| Last Updated Date | 2011-02-18 |
Provider Mailing Address Detail
| Address | 4224 Heritage Trace Pkwy Ste 304 |
|---|---|
| City | Fort Worth |
| State | Texas (TX) |
| Post Code | 762445379 |
| Phone Number | 8177412200 |
| Fax Number | 8177412216 |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Surgery |
|---|---|
| Taxonomy | 1223S0112X |
| Licence No | 9829 |
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Definition: The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
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Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Larry Wilson Spradley by the Centers for Medicare & Medicaid Services?
The Larry Wilson Spradley has been assigned the NPI (National Provider Identifier) 1386637536 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Larry Wilson Spradley is located?
The Larry Wilson Spradley is situated at the following address: 4224 Heritage Trace Pkwy Ste 304, Fort Worth, TX, 762445379.
What is Larry Wilson Spradley's area of expertise and its corresponding taxonomy classification?
The Larry Wilson Spradley's field of specialization is Oral And Maxillofacial Surgery, and it falls under the taxonomy code 1223S0112X, which categorizes healthcare providers based on their areas of practice.
When did Larry Wilson Spradley receive its 1386637536 assignment?
The Larry Wilson Spradley was assigned its 1386637536 on 2005-08-23, which is the date when this unique identifier was issued to the organization.
As of what date was the information pertaining to Larry Wilson Spradley, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Larry Wilson Spradley, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2011-02-18.
NPI Number: 1528061710
Address: 19 Nh Route 104, Meredith, NH