Lawrence Henry Sprouse Jr., D.M.D.

General Practice Dentistry · Fairfield, CT

Individual Active NPI

NPI number 1033234554

Practice location

2452 Black Rock Tpke
Suite 12
Fairfield, CT 06825-2407
Phone
(203) 374-3886

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NPI record

NPI
1033234554
Entity type
Individual (Type 1)
Enumeration date
March 21, 2007
Last updated
July 8, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 4035 CT

Mailing address

2452 Black Rock Tpke Ste 12
Fairfield, CT 06825-2407
Phone
(203) 374-3886

About Dr. Sprouse

Lawrence Henry Sprouse Jr., D.M.D. is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 2452 Black Rock Tpke, Suite 12, Fairfield, CT 06825-2407. The NPI number 1033234554 was assigned on March 21, 2007 and the record was last updated on July 8, 2007.

Dr. Sprouse lists a license in the registry: #4035 (CT) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Lawrence Henry Sprouse Jr., D.M.D.?

The NPI number is 1033234554.

What is the phone number of Dr. Sprouse?

The phone number listed for the practice location is (203) 374-3886.

Where is Dr. Sprouse located?

2452 Black Rock Tpke, Suite 12, Fairfield, CT 06825-2407.

What is the taxonomy code for Dr. Sprouse?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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