Individual provider · Type 1 NPI

Kyle Bryan Frazier, DDS

Oral and Maxillofacial Surgery (Dentist) · Wilkes Barre, PA

NPI number 1003102435 Active

Practice location

675 Baltimore Dr
Wilkes Barre, PA 18702-7900

Call (570) 808-5626 Map

Fax (570) 808-6352

Mailing address

PO Box 844658
Dallas, TX 75284-4658

Specialties and licenses

TaxonomyCodeLicense
Dentist 122300000X27097 (TX)
Oral and Maxillofacial Pathology Dentistry 1223P0106X27097 (TX)
Oral and Maxillofacial Surgery (Dentist) 1223S0112X27097 (TX)
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112XDS043990 (PA)

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

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About NPI 1003102435

Kyle Bryan Frazier, DDS's National Provider Identifier is 1003102435, issued on Jun 23, 2011. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Wilkes Barre, PA. The record was last updated on Sep 13, 2023.