JOHN DOUGLAS FRAZEE (NPI# 1689714487) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689714487 |
| Entity Type | Individual |
| Full Name | JOHN DOUGLAS FRAZEE |
| Credential | DDS |
| Practice Address |
311 Jefferson Avenue Sparta WI 54656-2113 |
| Mailing Address |
8504 County Hwy Bc Sparta WI 54656 |
| Practice Telephone | 6082695008 |
| Practice Fax Number | 6082695018 |
| Mailing Telephone | 6082694290 |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 5002093 | WI | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750703294 | John Frazee | Dentist | 124 E Us Highway 30, Schererville, IN 46375-2117 | 2014-01-18 |
| 1255412300 | John Gordon Frazee | Neurological Surgery | 300 Medical Plz, Suite 200, Los Angeles, CA 90095-0001 | 2006-10-17 |
| Street Address |
311 JEFFERSON AVENUE |
| City | SPARTA |
| State | WI |
| Zip Code | 54656-2113 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669929279 | Jennifer Johnson | Physical Therapy Assistant | 14345 County Hwy B, Sparta, WI 54656 | 2016-09-01 |
| 1578019899 | M&t Performance Chiropractic, LLC | Chiropractor | 213 N Black River St, Sparta, WI 54656 | 2016-08-28 |
| 1801223003 | Emily M Nolte | Counselor | 112 S Court St. Room 3000, Sparta, WI 54656 | 2013-10-02 |
| 1518254945 | Therapeutic Home Services | Point of Service | 9484 Festival Avenue, Sparta, WI 54656 | 2011-07-06 |
| 1639488273 | Rebecca Ann Frey | Reflexologist | 5680 Canary Ave, Sparta, WI 54656 | 2010-09-30 |
| 1316276660 | Gary J Korthals | Pharmacist | 201 S. Water St, Sparta, WI 54656 | 2009-12-16 |
| 1689847329 | Donald N. La Force | Hearing Instrument Specialist | 117 West Oak St, Sparta, WI 54656 | 2008-04-02 |
| 1164400503 | Alice M Bachop | Nurse Practitioner | 310 West Main Street, Sparta, WI 54656 | 2006-01-05 |
| 1578540894 | Marc D Tumerman | Family Medicine | 310 West Main St, Sparta, WI 54656 | 2005-12-28 |
| 1003398488 | Ariel Dawn Ferdock | Pharmacist | 310 W Main St, Sparta, WI 54656 | 2018-09-03 |
| Find all providers in zip 54656 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497278105 | Sunkyo Seo | Dentist | 628 Lake Gerald Ct Ne, Sparta, MI 49345 | 2017-07-25 |
| 1861933194 | Supersmiles Dental, LLC | Dentist | 332 Sparta Ave, Sparta, NJ 07871-1112 | 2017-03-20 |
| 1265861074 | Robert Stelfox Jr. | Dentist | 712 S Saint Louis St, Sparta, IL 62286-1940 | 2013-11-02 |
| 1649408550 | Keith Stephan Appelbaum | Dentist | 1 Professional Quadrangle, Suite 5, Sparta, NJ 07871-2330 | 2009-06-30 |
| 1770704694 | Larry J Pratt | Dentist | 223 N Spring St, Sparta, TN 38583-1425 | 2007-05-01 |
| 1841339900 | Lawrence P Sullivan Dds Professional Corporation | Dentist | 11 Sparta Ave, Sparta, NJ 07871-1801 | 2007-02-05 |
| 1497809875 | Waymon Haston | Dentist | 9-a Hampton Drive, Sparta, TN 38583 | 2007-01-22 |
| 1497829758 | G Terry Johnson Dds Pa | Dentist | 146 Doctors St, Sparta, NC 28675 | 2006-11-20 |
| 1598844094 | Ewell Curtis Phillips Jr. | Dentist | 8499 Round Cove Rd, Sparta, TN 38583-7409 | 2006-11-03 |
| 1235233719 | Michael T Ward | Dentist | 27 W Shore Trl, Sparta, NJ 07871-1827 | 2006-09-12 |
| Find all providers in SPARTA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.