IndividualActive
Jennifer Fraser, DMD
NPI 1487772984 · Dentist · Bunnell, FL
Provider details
- NPI number
- 1487772984
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- DMD
- Sex
- Female
- Sole proprietor
- Yes
- License
- DN19401 (FL)
Specialties & taxonomies
Dental Providers
Practice location
35 Caroline Street
Bunnell, FL 32110
Phone: (386) 672-7710
Fax: (386) 313-1970
Approximate (ZIP-level) locationGet directions
Mailing address
35 Caroline St
Bunnell, FL 32110-8902
Registry dates
- Enumerated
- 2007-03-26
- Last updated
- 2013-01-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.