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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 1223G0001X |
Dentist Specialization: General Practice |
019028757 | IL | Dental Providers |
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 |
Street Address |
110 WAKANDA DR |
City | LEBANON |
State | IL |
Zip Code | 62254-1393 |
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 Code | 1223G0001X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | General Practice |
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 |
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 |
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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.