Individual
ANDREW BENJAMIN FARMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
8883
KY
1223P0221X
Pediatric Dentistry
Primary
8883
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100200040
—
KY
Enumeration date
06/18/2010
Last updated
08/03/2012
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