Frye, Nathaniel David
Frye, Nathaniel David is an individual health care provider with primary practice located at 3075 Smith Rd Ste 201 , Fairlawn OH 44333-4454. He recently has 2 registered licenses in different health care specialties including Dental Providers / Endodontics, Dental Providers / Dentist. Dental Providers / Dentist is his primary health care specialty. Frye, Nathaniel David can be contacted via phone (330) 666-0400.Contact Information
Primary practice address
3075 Smith Rd Ste 201
Fairlawn OH 44333-4454
Phone: (330) 666-0400
Fax: (330) 666-0130
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Endodontics | 1223E0200X | 30.025378 | Ohio |
| Dental Providers / Dentist | 122300000X | 30.025378 | Ohio |
Profile Details
| NPI number | 1720578669 |
|---|---|
| LBN Legal business name | Frye, Nathaniel David |
| Credentials | DDS, MS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 16th, 2018 |
| Last updated | Sep 12th, 2022 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1720578669 | NPPES |
| Ohio | Other | 30.025378 | OHIO STATE DENTAL LICENSE |
| Ohio | MEDICAID | 0286281 | OHIO STATE DENTAL LICENSE |
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