- Practice location
- 110 Bergen St, Newark, NJ 07103-2495
- Phone
- 973-972-4242
- Fax
- —
- Last updated
- April 9, 2026
Blaze Fraser is a Dentist based in Newark, NJ. Blaze Fraser practices in Newark, NJ and has the professional credentials of DMD. The NPI Number for Blaze Fraser is 1871088062 and holds a License No. 22DI02736700 (NJ). The current practice location address for Blaze Fraser is 110 Bergen St, Newark, NJ 07103-2495 and can be reached out via phone at 973-972-4242.
Provider Profile Details
- NPI Number
- 1871088062
- Provider Name
- Blaze Fraser
- Credential
- DMD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 110 Bergen St, Newark, NJ 07103-2495
- Phone Number
- 973-972-4242
- Primary Taxonomy
- Dentist · 122300000X
- Sole Proprietor
- No
- Provider Enumeration Date
- June 29, 2018
- Last Update Date
- April 9, 2026
- Certification Date
- April 9, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 110 Bergen St
Newark, NJ 07103-2495 - City
- Newark
- State
- New Jersey
- Zip
- 07103-2495
- Phone Number
- 973-972-4242
Provider Business Mailing Address Details
- Address
- 150 Bay St Apt 913
Jersey City, NJ 07302-5918 - City
- Jersey City
- State
- NJ
- Zip
- 07302-5918
License Information
- License Number
- 22DI02736700
- License State
- NJ
- Taxonomy
- Dentist · 122300000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Dentists near Newark, NJ
View all Dentists in Newark →Frequently Asked Questions
What is the NPI number of Dr. Blaze Fraser, DMD?
The NPI number of Dr. Blaze Fraser, DMD is 1871088062. It was assigned on June 29, 2018 and is currently active in the NPPES registry.
What is the specialty of Dr. Blaze Fraser, DMD?
Dr. Blaze Fraser, DMD is registered under the primary taxonomy Dentist (code 122300000X), licensed in NJ under license number 22DI02736700.
Where does Dr. Blaze Fraser, DMD practice?
The practice location is 110 Bergen St, Newark, NJ 07103-2495. The office can be reached at 973-972-4242 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1871088062 directly on the NPPES registry website.