Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1245329093 Individual Practitioner Female Practitioner

Dr. Maria S Fraser , DMD

Dentist - Pediatric Dentistry • St Augustine, FL

Professional Overview & Biography Verified Profile Summary

Dr. Maria Fraser, DMD is a registered healthcare professional specializing in Dentist - Pediatric Dentistry in St Augustine, FL. Practice services are available at 1100 S PONCE DE LEON BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1100 S Ponce De Leon Blvd

St Augustine, FL 320846099

Telephone 9048296321
Fax 9048292338
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - Pediatric Dentistry in St Augustine, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 8.0 Yrs
Regional Practice Density
3 Specialists

Practicing in St Augustine, FL (688 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

Dentist - Pediatric Dentistry Primary Specialty

NUCC Taxonomy Code: 1223P0221X

State License FL DN14127

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

Practice Associates & Co-Workers

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

2 Associated Practitioners
Dr. Barbara Mclellan , DDS

Dentist - General Practice

NPI 1356434682

Doctor of Dental Surgery

Dr. Matthew Mclellan , DMD

Dentist - Pediatric Dentistry

NPI 1568495919

Doctor of Dental Medicine

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active February 27, 2013

NPI status registered as active in NPPES database

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Updated Practice Location February 27, 2013

Registered at 1100 S PONCE DE LEON BLVD, ST AUGUSTINE, FL 320846099 (Tel: 9048296321)

📍
Updated Business Mailing Address February 27, 2013

Registered at 1100 S PONCE DE LEON BLVD, ST AUGUSTINE, FL 320846099 (Tel: 9048296321)

👤
Provider Name / Credentials Updated February 27, 2013

Recorded as MARIA FRASER, D.M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 27, 2013

Dentist (License #DN14127 in FL)

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Initial NPI Registration & Enumeration October 12, 2006

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: 1245329093
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 12, 2006
Last Update: February 27, 2013
Sole Proprietor: No

Mailing Address

1100 S Ponce De Leon Blvd

St Augustine, FL 320846099

Phone: 9048296321

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.