DR. GORDON CLELAND FRASER JR. DMD
NPI 1306034871
Dentist - Periodontics in Conyers, GA

Q: What is Gordon Fraser's NPI number?

The NPI number for Gordon Fraser is 1306034871. It was assigned to this individual provider in the NPPES registry on October 10, 2007.

Q: What is Gordon Fraser's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Q: When was this NPI record last updated?

The NPPES record for Gordon Fraser was last updated on May 3, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 10, 2007

1916 IRIS DRIVE, CONYERS, GA 30094(770) 483-4469(770) 922-0401 Get Directions Write a Review

NPPES record last updated: May 3, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Gordon Cleland Fraser Jr. Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. GORDON CLELAND FRASER JR. DMD (NPI 1306034871) is an individual periodontics provider in Conyers, Georgia, licensed in Georgia (DN012684) and active in the NPI registry since October 2007.

NPPES Registry Identity

NPI1306034871

Entity TypeIndividualMale

Primary Taxonomy1223P0300X

Provider Legal NameDR. GORDON CLELAND FRASER JR.Credential: DMD

Location Address1916 IRIS DRIVEConyers, GA 30094

Mailing AddressP.o. Box 2213Peachtree City, GA 30269 · (770) 483-4469 · Fax (770) 922-0401

Phone(770) 483-4469

Fax(770) 922-0401

Sole ProprietorYes

Enumeration DateOctober 10, 2007

Last NPPES UpdateMay 3, 2016

✔ NPI 1306034871 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers

Taxonomy Code1223P0300X

License✔ Licensed in GA · DN012684

Definition

That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

1916 IRIS DRIVE, Conyers, GA 30094

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gordon Fraser's NPI number?

The NPI number for Gordon Fraser is 1306034871. It was assigned to this individual provider in the NPPES registry on October 10, 2007.

Where is Gordon Fraser located?

Gordon Fraser practices at 1916 Iris Drive, Conyers, GA 30094. The listed phone number is (770) 483-4469.

What is Gordon Fraser's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

What insurance does Gordon Fraser accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Humana list Gordon Fraser as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Gordon Fraser was last updated on May 3, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.