NPI 1003900036

Ken H. Farrar, DMD

Practitioner Orthodontics and Dentofacial Orthopedics Dentistry Marietta, GA

Practice location

Address: 3770 Due West Rd NW Suite 100, Marietta, GA 30064-1016
Phone: (770) 428-0283
Fax: (770) 590-8658

Registered specialties

Orthodontics and Dentofacial Orthopedics Dentistry Primary

Dental Providers Taxonomy 1223X0400X Licence 9158 (GA)

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Registry record

NPI: 1003900036
Entity type: Individual
Sex (as registered): Male
NPI issued: 3 Oct 2006
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.