# JACOB R. FARMER, DDS, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1972227726
- **Authorized official:** DR. JACOB ROBERT FARMER DDS (DENTIST)
- **Authorized official phone:** (360) 514-9212

## Contact information

- **Practice address:** 4305 NE THURSTON WAY, VANCOUVER, WA 98662-6655
- **Practice address phone:** (360) 514-9212
- **Mailing address:** 4305 NE THURSTON WAY, VANCOUVER, WA 98662-6655
- **Mailing address phone:** (360) 514-9212

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 09/26/2022
- **Last updated:** 09/26/2022