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

Joshua Frazer

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1154012623

Joshua Frazer is a Student in an Organized Health Care Education/Training Program in Shallotte, North Carolina. Licensed in North Carolina. Registered with an NPI since 2023.

Licensed in
NC
In the registry since
2023
Specialties on file
2

Practice location Address checks out

113 Smith Ave Unit 5
Shallotte, NC 28470-4756
Phone: (980) 296-2473
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 13427 (NC)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1154012623
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 16, 2023
Last updated in NPPESAugust 3, 2023
Certification dateAugust 3, 2023

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