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Jacob Eldon Frazier, DMD,MS
Endodontist in Lebanon, Illinois
NPI 1497043178

Jacob Eldon Frazier is a Endodontist based in Lebanon, IL and is specialized in Endodontics. Jacob Eldon Frazier practices in Lebanon, IL and has the professional credentials of DMD,MS. The NPI Number for Jacob Eldon Frazier is 1497043178 and holds a License No. 019028757 (Illinois).

The current practice location address for Jacob Eldon Frazier is 110 Wakanda Dr, Lebanon, IL and can be reached out via phone at 618-808-0511 and via fax at 618-808-0533.

Location: 110 Wakanda Dr, Lebanon, IL, 62254-1393
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1497043178
Provider Name
Jacob Eldon Frazier
Credential
DMD,MS
Provider Entity Type
Individual
Gender
Male
Address
110 Wakanda Dr, Lebanon, IL, 62254-1393
Phone Number
618-808-0511
Fax Number
618-808-0533
Provider Enumeration Date
07/15/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
110 Wakanda Dr
City
Lebanon
State
Illinois
Zip
62254-1393
Phone Number
618-808-0511
Fax Number
618-808-0533
person
Provider Business Mailing Address Details
Address
110 Wakanda Dr
City
Lebanon
State
Illinois
Zip
62254-1393
Phone Number
618-808-0511
Fax Number
618-808-0533
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Endodontics
Taxonomy
1223E0200X
License No.
021.002661 (Illinois)
Definition
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.
person
Provider's Taxonomy Details 2
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
019028757 (Illinois)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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