Richard A. Farmer, D.D.S.

Individual provider Active NPI Orthodontics and Dentofacial Orthopedics Dentistry · Liberal, KS

NPI 1346375102 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1346375102
Entity type
Individual (NPI type 1)
Primary specialty
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X
License
4326 (KS)
Practice address
2130 N Grant Ave
Liberal, KS 67901-2005
Phone
(620) 624-7191
NPI assigned
Feb 22, 2007
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
4326KSMDChiropractor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 4326 KS Yes

Addresses

Primary practice location

2130 N Grant Ave
Liberal, KS 67901-2005

Mailing address

2130 N Grant Ave
Liberal, KS 67901-2005
Phone (620) 624-7191

Other providers in Liberal, KS

All providers in Liberal, KS · Orthodontics and Dentofacial Orthopedics Dentistry in Kansas

Sources for this page

Verify at the official NPI Registry.