Provider Demographics
NPI:1871750190
Name:SPRENKLE, PRESTON CARPENTER (MD)
Entity type:Individual
Prefix:DR
First Name:PRESTON
Middle Name:CARPENTER
Last Name:SPRENKLE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 208058
Mailing Address - Street 2:DEPARTMENT OF UROLOGY, YALE SCHOOL OF MEDICINE
Mailing Address - City:NEW HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06520-8058
Mailing Address - Country:US
Mailing Address - Phone:203-785-2052
Mailing Address - Fax:203-785-4043
Practice Address - Street 1:330 CEDAR ST
Practice Address - Street 2:DEPARTMENT OF UROLOGY, RM 315B
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06520-8058
Practice Address - Country:US
Practice Address - Phone:203-785-2052
Practice Address - Fax:203-785-4043
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-22
Last Update Date:2012-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY60 237902208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology