Trudy-Ann Nicole Frazer
Pediatric Dentist
4020 Chapel Hill Rd
Douglasville
, Georgia 30135-2829
Trudy-Ann Nicole Frazer
Pediatric Dentist
4020 Chapel Hill Rd
Douglasville
, Georgia 30135-2829
(770) 949-2400
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About
Features
Specialties
- Pediatric Dentist
Languages spoken
- English
Location
First Address
- Trudy-Ann Nicole Frazer
- 4020 Chapel Hill Rd
- Douglasville, GA
- Zip : 30135-2829
- Phone : (770) 949-2400
Second Address
- Trudy-Ann Nicole Frazer
- 4020 Chapel Hill Rd
- Douglasville, GA
- Zip : 30135-2829
- Phone : (770) 949-2400
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223P0221X | Pediatric Dentist | DN014971 | GA |
National Provider Identifier
| NPI | 1043655038 |
|---|---|
| Provider Name | Trudy-Ann Nicole Frazer |
| First Address | Douglasville, GA 30135-2829 |
| Second Address | Douglasville, GA 30135-2829 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 03/05/2013 |
| Last Update Date | 20/04/2016 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.