Provider Demographics
NPI:1487708129
Name:SPARANGES, LOUIS PETER (DMD)
Entity type:Individual
Prefix:DR
First Name:LOUIS
Middle Name:PETER
Last Name:SPARANGES
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16 HARRINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:SHREWSBURY
Mailing Address - State:MA
Mailing Address - Zip Code:01545-5268
Mailing Address - Country:US
Mailing Address - Phone:508-842-0500
Mailing Address - Fax:
Practice Address - Street 1:16 HARRINGTON AVE
Practice Address - Street 2:
Practice Address - City:SHREWSBURY
Practice Address - State:MA
Practice Address - Zip Code:01545-5268
Practice Address - Country:US
Practice Address - Phone:508-842-0500
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA136631223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0249696OtherMASS HEALTH ID