Active NPIIndividual providerSole proprietor

Dr. Lawrence H Sprouse Jr., DMD

Dentist, General Practice in Fairfield, Connecticut

NPI Number1033234554
Practice location
2452 Black Rock Tpke, Suite 12, Fairfield, CT 06825-2407
Fax
—
Last updated
July 8, 2007

Lawrence Henry Sprouse is a Dentist, General Practice based in Fairfield, CT. Lawrence Henry Sprouse practices in Fairfield, CT and has the professional credentials of DMD. The NPI Number for Lawrence Henry Sprouse is 1033234554 and holds a License No. 4035 (CT). The current practice location address for Lawrence Henry Sprouse is 2452 Black Rock Tpke, Suite 12, Fairfield, CT 06825-2407 and can be reached out via phone at 203-374-3886.

Provider Profile Details

NPI Number
1033234554
Provider Name
Lawrence Henry Sprouse
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
2452 Black Rock Tpke, Suite 12, Fairfield, CT 06825-2407
Phone Number
203-374-3886
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
Yes
Provider Enumeration Date
March 21, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
2452 Black Rock Tpke
Suite 12
Fairfield, CT 06825-2407
Zip
06825-2407
Phone Number
203-374-3886
Fairfield, CT 06825Get directions →

Provider Business Mailing Address Details

Address
2452 Black Rock Tpke Ste 12
Fairfield, CT 06825-2407
City
Fairfield
State
CT
Zip
06825-2407
Phone Number
203-374-3886

License Information

License Number
4035
License State
CT
Taxonomy
Dentist, General Practice · 1223G0001X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Lawrence H Sprouse Jr., DMD?

The NPI number of Dr. Lawrence H Sprouse Jr., DMD is 1033234554. It was assigned on March 21, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. Lawrence H Sprouse Jr., DMD?

Dr. Lawrence H Sprouse Jr., DMD is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in CT under license number 4035.

Where does Dr. Lawrence H Sprouse Jr., DMD practice?

The practice location is 2452 Black Rock Tpke, Suite 12, Fairfield, CT 06825-2407. The office can be reached at 203-374-3886 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1033234554 directly on the NPPES registry website.

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