Dr. Garret Fraser, DDS
Dentist, General Practice in Grand Forks, ND. Individual provider (NPI-1).
NPI number1811513153
StatusActive
Last updated in NPPESJun 23, 2020
Details
- NPI
- 1811513153
- Entity type
- Individual (NPI-1)
- Name
- Dr. Garret Fraser
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 23, 2020
- Certification date
- Jun 23, 2020
- Last updated
- Jun 23, 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 code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 2402 | ND | Yes |
Practice location
212 S 4th St Ste 200Grand Forks, ND 58201-4781
Phone 701-757-2100
Mailing address
117 N Washington StGrand Forks, ND 58203-3450
Phone 701-746-1481
Other practice locations
117 N Washington St
Grand Forks, ND 58203-3450
Grand Forks, ND 58203-3450
Phone 701-746-1481
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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