Jerry Evan Frasure DMD

NPI 1013075282 - Dentist - 1223G0001X

NPI Details
NPI 1013075282
Gender Male
Enumeration Date 12/04/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
400 N MAIN ST
CEDARVILLE OH, 45314, US
Phone (937) 766-5207
Fax (937) 766-9303
Business Location
400 N MAIN ST
CEDARVILLE OH, 45314, US
Phone (937) 766-5207
Fax (937) 766-9303
Toxanomy
Taxonomy Code 1223G0001X
License State Ohio
License Number 15428
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According to our database, Dr. Jerry Evan Frasure DMD NPI is 1013075282, taxonomy code is 1223G0001X and license number is 15428, license state is located at Ohio. Jerry Evan Frasure DMD physically located at 400 N Main St, Cedarville OH, 45314. NPI Number Jerry Evan Frasure DMD has the Individual type.

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1013075282 NPI number is provided on an as is basis without warranty of any kind. 1013075282 is maintained by the National Plan & Provider Enumeration System. The contents of Jerry Evan Frasure DMD are for informational purposes only.