Individual
ANDREW BENJAMIN FARMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
305 MORTON BLVD, HAZARD, KY 41701-9418
(606) 436-5437
Mailing address
PO BOX 388, HYDEN, KY 41749-0388
(606) 275-4686
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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