Joseph I Frazier is a Dentist in Crystal Lake, Illinois. Joseph I Frazier practices all healthcare services and medical treatments related to Dentist. The NPI Number for Joseph I Frazier is 1467537332. The last update date is 2007-07-08.
Joseph I Frazier's current location address is 690 N. Route 31, Crystal Lake, Illinois. You can contact this provider via phone number 8154774055. The mailing address for Joseph I Frazier is 690 N. Route 31, Crystal Lake, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Joseph I Frazier |
|---|---|
| Address | 690 N. Route 31, Crystal Lake, Illinois |
| Phone Number | 8154774055 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1467537332 |
|---|---|
| Provider Enumeration Date | 2006-10-26 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 690 N. Route 31 |
|---|---|
| City | Crystal Lake |
| State | Illinois (IL) |
| Post Code | 60012 |
| Phone Number | 8154774055 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 19014301 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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What is the unique 10-digit identification code assigned to Joseph I Frazier by the Centers for Medicare & Medicaid Services?
The Joseph I Frazier has been issued the NPI (National Provider Identifier) 1467537332, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Joseph I Frazier?
The Joseph I Frazier is situated at 690 N. Route 31, in the city of Crystal Lake, state of IL, with the zip code 60012.
What is Joseph I Frazier's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Joseph I Frazier is Dentist, and the taxonomy code that classifies this field of practice is 122300000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1467537332 to Joseph I Frazier?
The Centers for Medicare & Medicaid Services originally issued the 1467537332 to Joseph I Frazier on 2006-10-26.
As of what date were the details related to Joseph I Frazier most recently updated or revised?
The information pertaining to Joseph I Frazier, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.