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Contact Information

JERRY E FRASURE, DMD
400 N MAIN ST
CEDARVILLE, OH45314
 Phone: 937-766-5207
 Fax: 937-766-9303
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for JERRY E FRASURE · (Male)

NPI # 1013075282
Status Active
Credentials DMD (Doctor of Medical Dentistry)
Entity Individual
Enumeration date 12/04/2006
Last updated 07/08/2007 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • OH License # 15428
Hospital affiliation(s) Not Available
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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