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Lisa K. Frost DDS, LLC

Dentist, General Practice in Waverly, OH. Organization (NPI-2).

NPI number1528047461
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1528047461
Entity type
Organization (NPI-2)
Legal business name
Lisa K. Frost DDS, LLC
Organization subpart
No
Enumeration date
Jan 10, 2006
Last updated
Aug 22, 2020

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice21364OHYes

Practice location

100 E 3rd St
Waverly, OH 45690-1401

Phone 740-947-8200 · Fax 740-947-8210

Mailing address

100 E 3rd St
Waverly, OH 45690-1401

Phone 740-947-8200 · Fax 740-947-8210

Authorized official

Lisa K Frost
Owner Dentist
7409478200

Is something wrong?

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Other General Practice Dentistry providers in Waverly, OH

All 6 General Practice Dentistry providers in Waverly · All 759 providers in Waverly

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