John Douglas Frazee is a Dentist in Sparta, Wisconsin. John Douglas Frazee practices all healthcare services and medical treatments related to Dentist. The NPI Number for John Douglas Frazee is 1689714487. The last update date is 2007-07-08.
John Douglas Frazee's current location address is 311 Jefferson Avenue, Sparta, Wisconsin. You can contact this provider via phone number 6082695008 and fax number 6082695018. The mailing address for John Douglas Frazee is 311 Jefferson Avenue, Sparta, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John Douglas Frazee |
|---|---|
| Address | 311 Jefferson Avenue, Sparta, Wisconsin |
| Phone Number | 6082695008 |
| Fax Number | 6082695018 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1689714487 |
|---|---|
| Provider Enumeration Date | 2007-02-08 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 311 Jefferson Avenue |
|---|---|
| City | Sparta |
| State | Wisconsin (WI) |
| Post Code | 546562113 |
| Phone Number | 6082695008 |
| Fax Number | 6082695018 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 5002093 |
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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 identifier code issued to John Douglas Frazee by the Centers for Medicare & Medicaid Services?
The John Douglas Frazee has been assigned the NPI (National Provider Identifier) 1689714487 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where John Douglas Frazee is geographically located?
The John Douglas Frazee is physically situated at the following location: 311 Jefferson Avenue, Sparta, WI, 546562113.
What is John Douglas Frazee's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for John Douglas Frazee is Dentist, and the taxonomy classification code that categorizes this area of expertise is 122300000X.
On what date did the John Douglas Frazee receive the assignment of its 1689714487 from the Centers for Medicare & Medicaid Services?
The John Douglas Frazee was issued its 1689714487 by the Centers for Medicare & Medicaid Services on 2007-02-08.
When was the information pertaining to John Douglas Frazee most recently updated or revised?
The details related to John Douglas Frazee, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.
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