Frazier, Kevin Bradley

Frazier, Kevin Bradley is an individual health care provider with primary practice located at 1430 John Wesley Gilbert Drive , Augusta GA 30912-1001. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Frazier, Kevin Bradley can be contacted via phone (706) 721-2371.

Contact Information

Primary practice address
1430 John Wesley Gilbert Drive Augusta GA 30912-1001
Phone: (706) 721-2371
Fax: (706) 721-6778
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X DN9605 Florida
Dental Providers / Dentist 122300000X DNF000246 Georgia

Profile Details

NPI number 1134173578
LBN Legal business name Frazier, Kevin Bradley
Credentials DMD, ED.S
Entity Individual
Sole proprietor 1 No
Enumeration date May 20th, 2006
Last updated Apr 13th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134173578 NPPES
Georgia MEDICAID 000689664A

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