| Dr Gordon Cleland Fraser Jr, DMD | |
|
1916 Iris Drive, Conyers, GA 30094 | |
| (770) 483-4469 | |
| (770) 922-0401 |
| Full Name | Dr Gordon Cleland Fraser Jr |
|---|---|
| Gender | Male |
| Speciality | Dentist - Periodontics |
| Location | 1916 Iris Drive, Conyers, Georgia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306034871 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | DN012684 (Georgia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Gordon Cleland Fraser Jr, DMD P.o. Box 2213, Peachtree City, GA 30269 Ph: (770) 483-4469 | Dr Gordon Cleland Fraser Jr, DMD 1916 Iris Drive, Conyers, GA 30094 Ph: (770) 483-4469 |
Henry Hung Hoang Nguyen, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 2005 Honey Creek Pkwy Se, Conyers, GA 30013 Phone: 770-929-8555 | |
Dr. Robert H Creager, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 1463 Klondike Rd Sw, Suite A, Conyers, GA 30094 Phone: 770-922-8733 | |
Rodney L Givens, DDS Dentist Medicare: Medicare Enrolled Practice Location: 1910 Highway 20 Se, Suite 100, Conyers, GA 30013 Phone: 770-602-4733 Fax: 770-602-4736 | |
Kanisha Smith, Dentist Medicare: Not Enrolled in Medicare Practice Location: 2390 Wall St Se Ste 120, Conyers, GA 30013 Phone: 770-929-3411 | |
Dr. Jelani Tenoa Washington Sr., D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 976 East Freeway Drive, Suite A, Conyers, GA 30094 Phone: 615-491-2127 | |
Dr. Heavenly Kimes, Dentist Medicare: Not Enrolled in Medicare Practice Location: 3240 Glencree Road, Conyers, GA 30012 Phone: 404-713-4982 Fax: 678-413-2491 | |
Dr. Alexis Delon Irby, DMD Dentist Medicare: Medicare Enrolled Practice Location: 1450 Highway 138 Se, Conyers, GA 30013 Phone: 770-285-2270 |