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Dr. Gordon Cleland Fraser JR., DMD
Periodontist in Conyers, Georgia
NPI 1306034871

Gordon Cleland Fraser JR. is a Periodontist based in Peachtree City, GA and is specialized in Periodontics. Gordon Cleland Fraser JR. practices in Conyers, GA and has the professional credentials of DMD. The NPI Number for Gordon Cleland Fraser JR. is 1306034871 and holds a License No. DN012684 (Georgia).

The current practice location address for Gordon Cleland Fraser JR. is 1916 Iris Drive, Conyers, GA and can be reached out via phone at 770-483-4469 and via fax at 770-922-0401.

Location: 1916 Iris Drive, Conyers, GA, 30269
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1306034871
Provider Name
Gordon Cleland Fraser JR.
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
1916 Iris Drive, Conyers, GA, 30269
Phone Number
770-483-4469
Fax Number
770-922-0401
Provider Enumeration Date
10/10/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1916 Iris Drive
City
Conyers
State
Georgia
Zip
30094
Phone Number
770-483-4469
Fax Number
770-922-0401
person
Provider Business Mailing Address Details
Address
1916 Iris Drive
City
Conyers
State
Georgia
Zip
30094
Phone Number
770-483-4469
Fax Number
770-922-0401
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Periodontics
Taxonomy
1223P0300X
License No.
DN012684 (Georgia)
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
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