Individual
DR. CLIFTON FRAZIER JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1616 PULASKI PIKE NW, HUNTSVILLE, AL 35816-2534
(256) 536-2771
(256) 539-5284
Mailing address
10300 BAILEY COVE RD SE STE 4, HUNTSVILLE, AL 35803-2635
(256) 650-0724
(256) 650-0872
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4479
AL
332B00000X
Durable Medical Equipment & Medical Supplies
4479
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009967105
—
AL
05
—
009967115
—
AL
Enumeration date
02/23/2007
Last updated
07/10/2019
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