Provider Demographics
NPI:1790951010
Name:DILAURA, RICHARD SPRAGUE (DDS)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:SPRAGUE
Last Name:DILAURA
Suffix:
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 1:27200 HARPER AVE
Mailing Address - Street 2:
Mailing Address - City:ST CLAIR SHORES
Mailing Address - State:MI
Mailing Address - Zip Code:48081-1918
Mailing Address - Country:US
Mailing Address - Phone:586-776-2233
Mailing Address - Fax:
Practice Address - Street 1:27200 HARPER AVE
Practice Address - Street 2:
Practice Address - City:ST CLAIR SHORES
Practice Address - State:MI
Practice Address - Zip Code:48081-1918
Practice Address - Country:US
Practice Address - Phone:586-776-2233
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-05-06
Last Update Date:2008-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI11236122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist