Organization
FRED L. SPRADLEY, D.D.S., M.S.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FRED L. SPRADLEY D.D.S. AND M.S.D. (PRESIDENT)
(817) 294-5021
Entity
Organization
Contact information
Practice address
4763 BARWICK DR, SUITE 107, FORT WORTH, TX 76132-1500
(817) 294-5021
(817) 294-9310
Mailing address
4763 BARWICK DR, SUITE 107, FORT WORTH, TX 76132-1500
(817) 294-5021
(817) 294-9310
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
11859
TX
Other
Enumeration date
04/06/2007
Last updated
08/22/2020
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