Frost, James R.

Frost, James R. is an sole proprietor health care provider with primary practice located at 2001 W Willow Knolls Dr Suite #204, Peoria IL 61614-1290. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Frost, James R. can be contacted via phone (309) 692-8118.

Contact Information

Primary practice address
2001 W Willow Knolls Dr Suite #204 Peoria IL 61614-1290
Phone: (309) 692-8118
Fax: (309) 692-6655
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X Illinois

Profile Details

NPI number 1063552685
LBN Legal business name Frost, James R.
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 7th, 2007
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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