Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Blaze Fraser, DMD

Individual provider Dentist · NPI 1871088062

Dr. Blaze Fraser, DMD is a Dentist in Newark, New Jersey. Licensed in New Jersey. Registered with an NPI since 2018.

Licensed in
NJ
In the registry since
2018
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

See every abbreviation used in this directory →

Practice location Address checks out

110 Bergen St
Newark, NJ 07103-2495
Phone: (973) 972-4242
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 22DI02736700 (NJ)

Record details

NPI number1871088062
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedJune 29, 2018
Last updated in NPPESApril 9, 2026
Certification dateApril 9, 2026
Mailing address150 Bay St Apt 913, Jersey City, NJ 07302-5918

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