| Jacob Eldon Frazier, DMD, MS | |
|
110 Wakanda Dr, Lebanon, IL 62254-1393 | |
| (618) 808-0511 | |
| (618) 808-0533 |
| Full Name | Jacob Eldon Frazier |
|---|---|
| Gender | Male |
| Speciality | Dentist - Endodontics |
| Location | 110 Wakanda Dr, Lebanon, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497043178 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 019028757 (Illinois) | Secondary |
| 1223E0200X | Dentist - Endodontics | 021.002661 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jacob Eldon Frazier, DMD, MS 110 Wakanda Dr, Lebanon, IL 62254-1393 Ph: (618) 808-0511 | Jacob Eldon Frazier, DMD, MS 110 Wakanda Dr, Lebanon, IL 62254-1393 Ph: (618) 808-0511 |
Meagan Elise Graul, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 229 W Saint Louis St Ste 1, Lebanon, IL 62254 Phone: 618-537-2017 | |
Dr. Joseph Alan Cioni, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 229 W Saint Louis St, Ste 1, Lebanon, IL 62254 Phone: 618-537-2017 Fax: 618-537-9510 |