SearchGeorgiaPeriodontics

Gordon Fraser, DMD

NPI 1306034871 · on the registry since 2007 · sole proprietor

Practice

Address
1916 Iris Drive
Conyers, GA 30094
Phone
(770) 483-4469
Fax
(770) 922-0401

Registry record

Primary taxonomy
Periodontics
1223P0300X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2016-05-03

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia