Organization
FARMER PEDIATRIC DENTISTRY, PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW BENJAMIN FARMER (PEDIATRIC DENTIST)
(606) 436-5437
Entity
Organization
Contact information
Practice address
305 MORTON BLVD, HAZARD, KY 41701-9418
(606) 436-5437
Mailing address
305 MORTON BLVD, HAZARD, KY 41701-9418
(606) 436-5437
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100200040
—
KY
Enumeration date
07/20/2012
Last updated
07/20/2012
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