Individual
ALAN GEORGE FARMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BDS, DSC
Contact information
Practice address
501 S PRESTON ST, LOUISVILLE, KY 40292-0001
(502) 852-5128
(502) 852-7163
Mailing address
501 S. PRESTON STREET, LOUISVILLE, KY 40292
(502) 852-5128
(502) 852-7163
Taxonomy
Speciality
Code
Description
License number
State
1223X0008X
Oral and Maxillofacial Radiology Dentistry
Primary
757
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
60062031
—
KY
01
—
9179431
DORAL DENTAL
KY
Enumeration date
07/25/2006
Last updated
07/09/2007
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