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Deactivated NPI 1629112495 Deactivated / Inactive NPI Male Practitioner

Dr. Ross M. Fraker , DDS

Dentist - General Practice • Seattle, WA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Ross Fraker has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date February 16, 2007
NPI Deactivation Date September 25, 2019
Total Practice Duration ~12 Years of Practice (2007 – 2019)

Professional Overview & Biography Verified Profile Summary

Dr. Ross Fraker, DDS was a registered Dentist - General Practice practicing in Seattle, WA. Throughout an active medical career spanning 12 years, Dr. Fraker provided care at the practice location at 8120 GREEN LAKE DR N until profile deactivation on 2019-09-25.

Practice Location & Contact Primary Location

Practice Address

8120 Green Lake Dr N

Seattle, WA 981034412

Telephone 2065254994
Fax 2065252063
Associated Practice Facility / Clinic
🏢 Chet Jenkins Pc Facility NPI 1710823190

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Seattle, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 20.3 Yrs
State Avg: 21.3 Yrs
Regional Practice Density
459 Specialists

Practicing in Seattle, WA (3345 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 - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License WA 5420

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

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

2 Associated Practitioners
NPI 1083825293

Doctor of Dental Surgery

NPI 1841778727

Doctor of Dental Surgery

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated September 25, 2019

Record deactivated on September 25, 2019

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 8120 GREEN LAKE DR N, SEATTLE, WA 981034412 (Tel: 2065254994)

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Updated Business Mailing Address July 08, 2007

Registered at 8120 GREEN LAKE DR N, SEATTLE, WA 981034412 (Tel: 2065254994)

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Provider Name / Credentials Updated July 08, 2007

Recorded as ROSS FRAKER, DDS

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #5420 in WA)

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Initial NPI Registration & Enumeration February 16, 2007

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: 1629112495
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 16, 2007
Last Update: July 08, 2007
Deactivation Date: September 25, 2019

Mailing Address

8120 Green Lake Dr N

Seattle, WA 981034412

Phone: 2065254994

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.