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DR. LARRY WILSON SPRADLEY D.D.S., M.S.
NPI 1386637536
Dentist - Oral and Maxillofacial Surgery in Fort Worth, TX

Active since August 23, 2005
4224 HERITAGE TRACE PKWY STE 304, FORT WORTH, TX 76244(817) 741-2200(817) 741-2216 Get Directions Write a Review

NPPES record last updated: February 18, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Larry Wilson Spradley D.d.s., M.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. LARRY WILSON SPRADLEY D.D.S., M.S. (NPI 1386637536) is an individual oral and maxillofacial surgery provider in Fort Worth, Texas, licensed in Texas (9829) and active in the NPI registry since August 2005.

NPPES Registry Identity

NPI1386637536
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. LARRY WILSON SPRADLEYCredential: D.D.S., M.S.
Location Address4224 HERITAGE TRACE PKWY STE 304Fort Worth, TX 76244-5379
Mailing Address4224 Heritage Trace Pkwy Ste 304Fort Worth, TX 76244-5379 · (817) 741-2200 · Fax (817) 741-2216
Phone(817) 741-2200
Fax(817) 741-2216
Sole ProprietorYes
Enumeration DateAugust 23, 2005
Last NPPES UpdateFebruary 18, 2011
✔ NPI 1386637536 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in TX · 9829
Definition
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.
4224 HERITAGE TRACE PKWY STE 304, Fort Worth, TX 76244
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Other Identifiers 2

Medicare ID-Type Unspecified82Z740TX
Medicare UPINT16052TX

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Larry Spradley's NPI number?

The NPI number for Larry Spradley is 1386637536. It was assigned to this individual provider in the NPPES registry on August 23, 2005.

Where is Larry Spradley located?

Larry Spradley practices at 4224 Heritage Trace Pkwy Ste 304, Fort Worth, TX 76244. The listed phone number is (817) 741-2200.

What is Larry Spradley's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

When was this NPI record last updated?

The NPPES record for Larry Spradley was last updated on February 18, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.