Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1871088062 Individual Practitioner Male Practitioner

Dr. Blaze Fraser , DMD

Dentist • Newark, NJ

Professional Overview & Biography Verified Profile Summary

Dr. Blaze Fraser, DMD is a registered healthcare professional specializing in Dentist in Newark, NJ. Practice services are available at 110 BERGEN ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

110 Bergen St

Newark, NJ 071032495

Telephone 9739724242
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Newark, NJ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 25.5 Yrs
State Avg: 20.7 Yrs
Regional Practice Density
98 Specialists

Practicing in Newark, NJ (2906 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-04-09
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License NJ 22DI02736700

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

37 Associated Practitioners
Hui Li

Dentist - General Practice

NPI 1063263911
Chad Vitiello

Student in an Organized Health Care Education/Training Program

NPI 1063279446
Dr. Winnie Zhang , DMD

Student in an Organized Health Care Education/Training Program

NPI 1073003240

Doctor of Dental Medicine

Dr. Iris Wong , DMD

Student in an Organized Health Care Education/Training Program

NPI 1073309639

Doctor of Dental Medicine

Dr. Viveka Patel , DMD

Student in an Organized Health Care Education/Training Program

NPI 1154944783

Doctor of Dental Medicine

Dr. Urvashi Keswani , DDS, BDS

Dentist - Periodontics

NPI 1174262117

Doctor of Dental Surgery, BDS

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location April 09, 2026

Registered at 110 BERGEN ST, NEWARK, NJ 071032495 (Tel: 9739724242)

📍
Updated Practice Location January 20, 2021

Registered at 289 MARKET ST STE 2, SADDLE BROOK, NJ 076636026 (Tel: 2013689222)

📍
Updated Business Mailing Address January 20, 2021

Registered at 150 BAY ST APT 913, JERSEY CITY, NJ 073025918

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 20, 2021

Dentist (License #22DI02736700 in NJ)

NPI Profile Active June 29, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location June 29, 2018

Registered at 11 GETTY AVE, BLDG 275, PATERSON, NJ 07503 (Tel: 9737542296)

📍
Updated Business Mailing Address June 29, 2018

Registered at 11 GETTY AVE, BLDG 275, PATERSON, NJ 07503

👤
Provider Name / Credentials Updated June 29, 2018

Recorded as BLAZE FRASER, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 29, 2018

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration June 29, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1871088062
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 29, 2018
Last Update: April 09, 2026
Sole Proprietor: No

Mailing Address

150 Bay St Apt 913

Jersey City, NJ 073025918

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.