National Provider Identifier Database

JACOB E FRAZIER, DMD, MS – NPI #1497043178
Endodontics

The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.


Contact Information

JACOB E FRAZIER, DMD, MS
110 WAKANDA DR
LEBANON, IL62254-1393
Phone: 618-808-0511
Fax: 618-808-0533
Website:
Specialty Taxonomy Code
* Endodontics 1223E0200X
General Practice 1223G0001X

* Indicates primary specialty

NPI Profile & details for JACOB E FRAZIER

NPI Number 1497043178
Credentials DMD, MS
Entity Individual
Enumeration date 07/15/2011
Last updated 07/19/2023 - About 3 years ago
Sole proprietor1 Yes
Identifiers
  • IL License #: 019028757
  • IL License #: 021.002661
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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