# FRAIZ DENTAL GROUP P.C.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Fraiz and Christine Dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1801390992
- **Authorized official:** DR. BRIAN ROBERT FRAIZ DDS (PRESIDENT)
- **Authorized official phone:** (317) 213-3604

## Contact information

- **Practice address:** 604 E BOULEVARD STE A, KOKOMO, IN 46902-2286
- **Practice address phone:** (765) 864-2325
- **Practice address fax:** (765) 453-6920
- **Mailing address:** 604 E BOULEVARD STE A, KOKOMO, IN 46902-2286
- **Mailing address phone:** (765) 864-2325
- **Mailing address fax:** (765) 453-6920

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 03/22/2018
- **Last updated:** 03/22/2018