Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACOB ELDON FRAZIER, DMD, MS
Active Sole ProprietorJACOB 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 DRLEBANON, IL, 622541393Browse 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.