Jacob Eldon Frazier, DMD, MS
Jacob Eldon Frazier, DMD, MS is a General Practice Dentistry in Lebanon, Illinois. Practices as a sole proprietor. Licensed in Illinois.
- Licensed in
- IL
- In the registry since
- 2011
- Specialties on file
- 2
What do these letters mean?
Practice location Address checks out
110 Wakanda DrLebanon, IL 62254-1393
Phone: (618) 808-0511
Fax: (618) 808-0533
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Endodontics (primary) | Taxonomy 1223E0200X · Licence 021.002661 (IL) |
|---|---|
| General Practice Dentistry | Taxonomy 1223G0001X · Licence 019028757 (IL) |
Record details
| NPI number | 1497043178 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | DMD , MS |
| Sole proprietor | Yes |
| NPI enumerated | July 15, 2011 |
| Last updated in NPPES | July 19, 2023 |
| Certification date | July 19, 2023 |
| Mailing address | 110 Wakanda Dr, Lebanon, IL 62254-1393 |
Other providers in Lebanon
-
Dr. Joseph Alan Cioni, DMD
229 W Saint Louis St Ste 1, Lebanon, IL 62254-1515 · (618) 537-2017
-
University Smiles LLC
229 W Saint Louis St # SR, Lebanon, IL 62254-1515 · (618) 304-5988