JACOB ELDON FRAZIER


Address: 110 Wakanda Dr, Lebanon, IL 62254-1393
Phone: 6188080511

JACOB ELDON FRAZIER (NPI# 1497043178) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1497043178
Entity Type Individual
Full Name JACOB ELDON FRAZIER
Credential DMD, MS
Practice Address 110 Wakanda Dr
Lebanon
IL 62254-1393
Practice Telephone 6188080511
Practice Fax Number 6188080533
Mailing Telephone 6188080511
Mailing Fax Number 6188080533
Enumeration Date 2011-07-15
Last Update Date 2017-11-27
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 1223G0001X Dentist
Specialization: General Practice
019028757 IL Dental Providers

Other Providers JACOB FRAZIER

NPI Name Taxonomy Address Enumeration
1558923813 Jacob Mitchell Frazier Pharmacist 3200 E Speedway Blvd, Tucson, AZ 85716-3934 2019-07-07
1518436096 Jacob Lee Frazier Behavioral Analyst 3500 Remson Ct, Charlottesville, VA 22901-3508 2018-11-14

Office Location

Street Address 110 WAKANDA DR
City LEBANON
State IL
Zip Code 62254-1393

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1477788305 Tonya Gass Occupational Therapist 1201 North Alton, Lebanon, IL 62254 2009-05-21
1679550644 Lebanon Hco, LLC Skilled Nursing Facility 1201 N Alton St, Lebanon, IL 62254-1103 2005-12-29
1346873510 Lebanon Hco, LLC Skilled Nursing Facility 1201 N Alton St, Lebanon, IL 62254-1103 2020-02-17
1245475664 Elizabeth Budd Korte Family Medicine 420 Hillcrest Dr, Lebanon, IL 62254-1107 2008-12-15
1467892760 Christy Nichole Niles Counselor 10918 Fallowfield Dr, Lebanon, IL 62254-1163 2013-07-01
1144293820 William Edward Dill II Specialist/Technologist 701 College Rd, Lebanon, IL 62254-1291 2006-02-10
1558988519 Blake Hudspeth Specialist/Technologist 701 College Rd, Lebanon, IL 62254-1291 2020-06-25
1255957544 Abigail Louise Conner Specialist/Technologist 701 College Rd, Lebanon, IL 62254-1291 2020-06-22
1588280200 Katy Renee Gayford Specialist/Technologist 701 College Rd, Lebanon, IL 62254-1291 2020-06-18
1629595509 Joshua Parker Craig Specialist/Technologist 701 College Rd, Lebanon, IL 62254-1291 2017-08-23
Find all providers in zip 62254

Taxonomy Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Notes: Source: Academy of General Dentistry

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1902414436 University Smiles LLC Dentist 229 W Saint Louis St # Sr, Lebanon, IL 62254-1515 2020-07-21
1962020693 Rachel Hancock Dentist 367 Nh 120, Lebanon, NH 03766-1430 2020-07-09
1386295434 Zarna Patel Dentist 1451 Quentin Rd Ste 300, Lebanon, PA 17042-7562 2019-09-20
1932639044 Carson James Stroyan Dentist 11 Eldridge St Ste 300, Lebanon, NH 03766-1022 2017-06-13
1083142483 Horton Scott Li Dentist 604 S Cumberland St Ste 200, Lebanon, TN 37087-4794 2017-05-30
1548712151 Patel Dental Group of Upper Valley Dentist 11 Eldridge St, Suite #300, Lebanon, NH 03766-1022 2016-10-30
1235584913 Temicka Terrell Dentist 1037 W Main St Ste E, Lebanon, TN 37087-3356 2016-04-29
1215340880 Eriks Dental, PC Dentist 1338 S Lebanon St Ste 100, Lebanon, IN 46052-2792 2014-06-11
1740592633 John David Hirce Dentist 367 Route 120 Unit D, Lebanon, NH 03766-1430 2010-07-08
1740517804 Kathleen Kopecky-groh Dentist 428 Cumberland St, Lebanon, PA 17042-5314 2009-11-11
Find all providers in LEBANON

Competitor

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City LEBANON
Zip Code 62254

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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