Organization
ANNETTE T. FARTHING DDS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANNETTE T. FARTHING DDS (OWNER)
(317) 882-7694
Entity
Organization
Contact information
Practice address
7725 S EMERSON AVE, INDIANAPOLIS, IN 46237-8654
(317) 882-7694
(317) 882-8234
Mailing address
PO BOX 39136, INDIANAPOLIS, IN 46239-0136
(317) 882-7694
(317) 882-8234
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
12007985A
IN
1223P0221X
Pediatric Dentistry
12011645A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100239420
—
IN
Enumeration date
05/31/2013
Last updated
09/12/2013
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