Annette T. Farthing Dds, Pc | |
7725 S Emerson Ave Indianapolis IN 46237-8654 | |
(317) 882-7694 | |
(317) 882-8234 |
Full Name | Annette T. Farthing Dds, Pc |
---|---|
Speciality | Dentist - Pediatric Dentistry |
Location | 7725 S Emerson Ave, Indianapolis, Indiana |
Authorized Official Name and Position | Annette T. Farthing (OWNER) |
Authorized Official Contact | 3178827694 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Annette T. Farthing Dds, Pc Po Box 39136 Indianapolis IN 46239-0136 Ph: (317) 882-7694 | Annette T. Farthing Dds, Pc 7725 S Emerson Ave Indianapolis IN 46237-8654 Ph: (317) 882-7694 |
NPI Number | 1700223732 |
---|---|
Provider Enumeration Date | 05/31/2013 |
Last Update Date | 09/12/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1700223732 | NPI | - | NPPES |
100239420 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0221X | Dentist - Pediatric Dentistry | 12007985A (Indiana) | Primary |
1223P0221X | Dentist - Pediatric Dentistry | 12011645A (Indiana) | Secondary |
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