Trevor V. Fraser, DDS PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

10154 Issued in NC

Legal business name

TREVOR V. FRASER, DDS PA

Practice address

606 Buffalo Rd
Smithfield, NC 27577-7451

Phone

(919) 989-8805

Fax

(919) 989-8860

NPI assigned

Oct 19, 2016

Last updated

Oct 19, 2016By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Trevor V Fraser, DDSNPI 1700948296

Title

Dentist/Owner

Phone

(919) 989-8805

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Trevor Vincent Fraser, D.D.S

  • Dentist
  • Smithfield, NC
  • NPI 1700948296
  NPD (past) Authorized official
• Timothy Deyoung Sims, DDS

  • General Practice Dentistry
  • Smithfield, NC
  • NPI 1265574701
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1476835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476835200000",
    "number": "1952852469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "606 BUFFALO RD",
            "city": "SMITHFIELD",
            "state": "NC",
            "postal_code": "275777451",
            "telephone_number": "919-989-8805",
            "fax_number": "919-989-8860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 BUFFALO RD",
            "city": "SMITHFIELD",
            "state": "NC",
            "postal_code": "275777451",
            "telephone_number": "919-989-8805",
            "fax_number": "919-989-8860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TREVOR V. FRASER, DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-19",
        "last_updated": "2016-10-19",
        "status": "A",
        "authorized_official_last_name": "FRASER",
        "authorized_official_first_name": "TREVOR",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "919-989-8805",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "10154",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1700948296",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LICENSE",
            "identifier": "10154",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Isidora Thomas, MS, CCC-SLP
• Riley Marie Thomas, MS SLP
• Izabelle Marlene Thompson, PA-C
• Lydia Elizabeth Torres, LCMHC
• Town of Smithfield (Smithfield EMS)
• Tri County Community Health Council Inc
• Triangle East Surgery P a
• Triangle Premier Women's Health, P.a.
• Lauren Wilson Trogdon, ITFS
• Paul A Trottman, MD

• General Practice Dentistry in Smithfield, NC
• Providers in Smithfield, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.