Provider Demographics
NPI:1205926110
Name:FRYE, RAYMOND LEE II (DMD)
Entity type:Individual
Prefix:DR
First Name:RAYMOND
Middle Name:LEE
Last Name:FRYE
Suffix:II
Gender:M
Credentials:DMD
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Mailing Address - Street 1:6825 E HAMPDEN AVE
Mailing Address - Street 2:STE 103
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80224-3029
Mailing Address - Country:US
Mailing Address - Phone:303-355-1645
Mailing Address - Fax:303-355-3647
Practice Address - Street 1:5319 TACOMA MALL BLVD
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98409-7072
Practice Address - Country:US
Practice Address - Phone:253-476-1030
Practice Address - Fax:253-476-1031
Is Sole Proprietor?:No
Enumeration Date:2006-10-13
Last Update Date:2023-06-20
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Provider Licenses
StateLicense IDTaxonomies
WADE000081751223G0001X
CODEN002019611223G0001X
ORD92361223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice