Provider Demographics
NPI:1700948296
Name:FRASER, TREVOR VINCENT (DDS)
Entity type:Individual
Prefix:DR
First Name:TREVOR
Middle Name:VINCENT
Last Name:FRASER
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 300
Mailing Address - Street 2:
Mailing Address - City:SMITHFIELD
Mailing Address - State:NC
Mailing Address - Zip Code:27577-0300
Mailing Address - Country:US
Mailing Address - Phone:919-989-8805
Mailing Address - Fax:
Practice Address - Street 1:606 BUFFALO RD
Practice Address - Street 2:
Practice Address - City:SMITHFIELD
Practice Address - State:NC
Practice Address - Zip Code:27577-7451
Practice Address - Country:US
Practice Address - Phone:919-898-8805
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-14
Last Update Date:2025-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC10154122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist