John Frazier in Green Bay - Orthodontics And Dentofacial Orthopedics
John Frazier - NPI 1831318658
John Frazier is a Orthodontics And Dentofacial Orthopedics in Green Bay, Wisconsin. John Frazier practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for John Frazier is 1831318658. The last update date is 2007-07-08.
John Frazier's current location address is 700 E Walnut St, Green Bay, Wisconsin. You can contact this provider via phone number 9204320634. The mailing address for John Frazier is 700 E Walnut St, Green Bay, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John Frazier |
|---|---|
| Address | 700 E Walnut St, Green Bay, Wisconsin |
| Phone Number | 9204320634 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1831318658 |
|---|---|
| Provider Enumeration Date | 2007-04-24 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 700 E Walnut St |
|---|---|
| City | Green Bay |
| State | Wisconsin (WI) |
| Post Code | 543014052 |
| Phone Number | 9204320634 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Orthodontics And Dentofacial Orthopedics |
|---|---|
| Taxonomy | 1223X0400X |
| Licence No | 2345-015 |
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Definition: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their rel |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 33389500 | WI | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to John Frazier by the Centers for Medicare & Medicaid Services?
The John Frazier has been assigned the NPI (National Provider Identifier) 1831318658 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete street address where John Frazier is physically located?
The John Frazier is physically situated at the following address: 700 E Walnut St, Green Bay, WI, 543014052.
What is the John Frazier's area of specialization and corresponding taxonomy classification?
The John Frazier's specialty field is Orthodontics And Dentofacial Orthopedics, and it falls under the taxonomy code 1223X0400X, which categorizes healthcare providers based on their specialties.
On what date did the John Frazier receive the assignment of its 1831318658 from the Centers for Medicare & Medicaid Services?
The John Frazier was issued its 1831318658 by the Centers for Medicare & Medicaid Services on 2007-04-24.
As of what date was the information pertaining to John Frazier, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to John Frazier, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.