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

JACOB ELDON FRAZIER, DMD, MS

Active Sole Proprietor

JACOB ELDON FRAZIER, DMD, MS is a Endodontics healthcare provider located in LEBANON, Illinois. NPI 1497043178 is currently active in the NPPES registry. Verify at CMS.

Endodontics · LEBANON, IL

Registration Details

NPI Number
1497043178
Provider Type
Individual
Gender
Male
NPI Issued
Jul 15, 2011 (15.043327177637 yrs)
Last Updated
Jul 19, 2023
Licenses
019028757 (IL)
021.002661 (IL)
Sole Proprietor
Yes

Practice Information

Address
110 WAKANDA DR
LEBANON, IL, 622541393
Browse IL providers · Browse ZIP 62254
Phone
6188080511
Fax
6188080533
Primary Specialty
Endodontics
1223E0200X
Additional Specialty
Endodontics
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.