Lawrence Sprouse, D.M.D

NPI 1033234554 · on the registry since 2007 · sole proprietor

Practice

Address: 2452 Black Rock Tpke
Suite 12
Fairfield, CT 06825
Phone: (203) 374-3886
Organisation at this address: Divine Dentistry Pc
Your Natural Dr Llc
Ultimate Home Care Llc
Ultimate Assistance For Elders Llc
Lilian Youssef-Awad Sole Proprietor
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 4

Registry record

Primary taxonomy: 1223G0001X
1223G0001X
Licence states on file: CT
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Connecticut