| Fred L. Spradley, D.d.s., M.s.d., P.a. | |
|
4763 Barwick Dr Suite 107 Fort Worth TX 76132-1500 | |
| (817) 294-5021 | |
| (817) 294-9310 |
| Full Name | Fred L. Spradley, D.d.s., M.s.d., P.a. |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 4763 Barwick Dr, Fort Worth, Texas |
| Authorized Official Name and Position | Fred L. Spradley (PRESIDENT) |
| Authorized Official Contact | 8172945021 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fred L. Spradley, D.d.s., M.s.d., P.a. 4763 Barwick Dr Suite 107 Fort Worth TX 76132-1500 Ph: (817) 294-5021 | Fred L. Spradley, D.d.s., M.s.d., P.a. 4763 Barwick Dr Suite 107 Fort Worth TX 76132-1500 Ph: (817) 294-5021 |
| NPI Number | 1003938333 |
|---|---|
| Provider Enumeration Date | 04/06/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003938333 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 11859 (Texas) | Primary |
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