Provider Demographics
NPI:1487077673
Name:SPRINKLE, HENRY JR (DDS)
Entity type:Individual
Prefix:DR
First Name:HENRY
Middle Name:
Last Name:SPRINKLE
Suffix:JR
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7100 MATLOCK RD
Mailing Address - Street 2:
Mailing Address - City:GRANBURY
Mailing Address - State:TX
Mailing Address - Zip Code:76049-6333
Mailing Address - Country:US
Mailing Address - Phone:817-980-3957
Mailing Address - Fax:817-326-2900
Practice Address - Street 1:1106 W RANDOL MILL RD
Practice Address - Street 2:SUITE 100
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76012-6506
Practice Address - Country:US
Practice Address - Phone:817-461-9998
Practice Address - Fax:817-459-4844
Is Sole Proprietor?:Yes
Enumeration Date:2014-01-24
Last Update Date:2014-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX96331223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice