DR. LARRY WILSON SPRADLEY D.D.S. M.S. NPI 1386637536

NPI Information

  • NPI: 1386637536
  • Provider Name: DR. LARRY WILSON SPRADLEY, D.D.S., M.S.
  • Classification: Dentist - 1223S0112X
  • Specialization: Oral and Maxillofacial Surgery
  • Entity Type: Individual
  • Address: 4224 HERITAGE TRACE PKWY STE 304
    FORT WORTH, TX
    ZIP 76244
  • Phone: (817) 741-2200

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NPI Details

DR. Larry Wilson Spradley, D.D.S., M.S. is an oral and maxillofacial surgery dentist in Fort Worth, TX. The provider is an oral and maxillofacial surgery dentist specialized in 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. DR. Larry Wilson Spradley, D.D.S., M.S. NPI is 1386637536. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4224 HERITAGE TRACE PKWY STE 304
FORT WORTH, TX
ZIP 76244-379
Phone: (817) 741-2200
Fax: (817) 741-2216

The enumeration date for this NPI number is 8/23/2005 and was last updated on 2/18/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223S0112XDentistOral and Maxillofacial Surgery9829TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
182Z740MEDICARE ID-TYPE UNSPECIFIEDTEXAS
2T16052MEDICARE UPINTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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