Mark D Farley, DMD ORTHODONTIST
Individual provider Active NPI Orthodontics and Dentofacial Orthopedics Dentistry · Highland Heights, KY
NPI 1700946241 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1700946241
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X
- License
- KY5670 (KY)
- Practice address
- 1809 Alexandria Pike
Suite B
Highland Heights, KY 41076 - Phone
- (859) 441-7900
- Fax
- (859) 441-5025
- NPI assigned
- Dec 12, 2006
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| KY5670 | KY | MD | Orthodontics and Dentofacial Orthopedic Dentist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | KY5670 | KY | Yes |
Addresses
Primary practice location
1809 Alexandria Pike
Suite B
Highland Heights, KY 41076
Mailing address
80 South Shaw Lane
Ft Thomas, KY 41075
Phone (859) 441-1487
Other providers in Highland Heights, KY
- Suzanne Elizabeth Dorma
- Aaron John Dragone
- Ibrahim Elgumati
- Sarah Erickson
- Familylife Vision Care, PSC
- Samuel Farmer
- Mark Foster
- Jennifer Fowee
- Sarah Frank
- Deborah Ann Franzen
All providers in Highland Heights, KY · Orthodontics and Dentofacial Orthopedics Dentistry in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.