DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. GORDON CLELAND FRASER JR., DMD

Active Sole Proprietor

DR. GORDON CLELAND FRASER JR., DMD is a Periodontology healthcare provider located in CONYERS, Georgia. NPI 1306034871 is currently active in the NPPES registry. Verify at CMS.

Periodontology · CONYERS, GA

Registration Details

NPI Number
1306034871
Provider Type
Individual
Gender
Male
NPI Issued
Oct 10, 2007 (18.871606499129 yrs)
Last Updated
May 3, 2016
License
DN012684 (GA)
Sole Proprietor
Yes

Practice Information

Address
1916 IRIS DRIVE
CONYERS, GA, 30094
Browse GA providers · Browse ZIP 30094
Phone
7704834469
Fax
7709220401
Primary Specialty
Periodontology
1223P0300X

Other Periodontology Providers in CONYERS, GA

Name Credential NPI
DR. ROBERT H CREAGER D.D.S. 1003950247
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.