Blaze Fraser, DMD

Dentist · Newark, NJ

Individual Active NPI

NPI number 1871088062

Practice location

110 Bergen St
Newark, NJ 07103-2495
Phone
(973) 972-4242

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NPI record

NPI
1871088062
Entity type
Individual (Type 1)
Enumeration date
June 29, 2018
Last updated
April 9, 2026
Certified
April 9, 2026
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 22DI02736700 NJ

Mailing address

150 Bay St Apt 913
Jersey City, NJ 07302-5918

About Dr. Fraser

Blaze Fraser, DMD is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 110 Bergen St, Newark, NJ 07103-2495. The NPI number 1871088062 was assigned on June 29, 2018 and the record was last updated on April 9, 2026.

Dr. Fraser lists a license in the registry: #22DI02736700 (NJ) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Blaze Fraser, DMD?

The NPI number is 1871088062.

What is the phone number of Dr. Fraser?

The phone number listed for the practice location is (973) 972-4242.

Where is Dr. Fraser located?

110 Bergen St, Newark, NJ 07103-2495.

What is the taxonomy code for Dr. Fraser?

The primary taxonomy code is 122300000X – Dentist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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