Individual
DR. RODERICK VINCENT FRAZIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
309 NORTHCREEK BLVD, GOODLETTSVILLE, TN 37072-1995
(615) 851-1777
(615) 851-0877
Mailing address
PO BOX 589, GOODLETTSVILLE, TN 37070-0589
(615) 851-1777
(615) 851-0877
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS005013
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3204272
—
TN
Enumeration date
08/10/2006
Last updated
08/27/2012
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