Individual
WILLIAM R FARMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5222 N PORTLAND AVE, OKLAHOMA CITY, OK 73112-2070
(405) 947-1525
(405) 947-6716
Mailing address
5222 N PORTLAND AVE, OKLAHOMA CITY, OK 73112-2070
(405) 947-1525
(405) 947-6716
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5832
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200075060A
—
OK
Enumeration date
11/28/2006
Last updated
11/02/2015
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