Individual provider · Type 1 NPI

Larry Wilson Spradley, DDS, M.S.

Oral and Maxillofacial Surgery (Dentist) · Fort Worth, TX

NPI number 1386637536 Active

Practice location

4224 Heritage Trace Pkwy Ste 304
Fort Worth, TX 76244-5379

Call (817) 741-2200 Map

Fax (817) 741-2216

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X9829 (TX)

Oral and Maxillofacial Surgery (Dentist): 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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About NPI 1386637536

Larry Wilson Spradley, DDS, M.S.'s National Provider Identifier is 1386637536, issued on Aug 23, 2005. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Fort Worth, TX. The record was last updated on Feb 18, 2011.