Individual
DR. NATHANIEL DAVID FRYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MS
Contact information
Practice address
3075 SMITH RD STE 201, FAIRLAWN, OH 44333-4454
(330) 666-0400
(330) 666-0130
Mailing address
4316 CHESTNUT RD, INDEPENDENCE, OH 44131-3760
(814) 758-0476
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30.025378
OH
1223E0200X
Endodontics
30.025378
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0286281
—
OH
01
—
30.025378
OHIO STATE DENTAL LICENSE
OH
Enumeration date
05/16/2018
Last updated
09/12/2022
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