Provider Demographics
NPI:1558734244
Name:DR. HAROLD FRAZIER III, DDS, PLLC
Entity Type:Organization
Organization Name:DR. HAROLD FRAZIER III, DDS, PLLC
Other - Org Name:COLONIAL DENTAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:HAROLD
Authorized Official - Middle Name:N
Authorized Official - Last Name:FRAZIER
Authorized Official - Suffix:III
Authorized Official - Credentials:DDS
Authorized Official - Phone:828-419-0699
Mailing Address - Street 1:510 MEADOWMONT VILLAGE CIR
Mailing Address - Street 2:#143
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27517-7584
Mailing Address - Country:US
Mailing Address - Phone:828-419-0699
Mailing Address - Fax:
Practice Address - Street 1:510 MEADOWMONT VILLAGE CIR
Practice Address - Street 2:#143
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27517-7584
Practice Address - Country:US
Practice Address - Phone:828-419-0699
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-04
Last Update Date:2015-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9798261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental