Farley Dental Care LLC

Primary specialty

DentistTaxonomy code 122300000X

License

30.022987 Issued in OH

Legal business name

FARLEY DENTAL CARE LLC

Practice address

301 Park Ave
South Point, OH 45680-9635

Phone

(740) 377-2219

Fax

(740) 377-4987

NPI assigned

Feb 4, 2014

Last updated

Feb 4, 2014By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. John Milton Farley III, DDS

Title

Owner/Dentist

Phone

(740) 377-2219

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gregory D Prater, DDS

  • General Practice Dentistry
  • South Point, OH
  • NPI 1801970298
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1391472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391472000000",
    "number": "1942623475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 512",
            "city": "SOUTH POINT",
            "state": "OH",
            "postal_code": "456800512",
            "telephone_number": "740-377-2219",
            "fax_number": "740-377-4987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 PARK AVE",
            "city": "SOUTH POINT",
            "state": "OH",
            "postal_code": "456809635",
            "telephone_number": "740-377-2219",
            "fax_number": "740-377-4987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FARLEY DENTAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-04",
        "last_updated": "2014-02-04",
        "status": "A",
        "authorized_official_last_name": "FARLEY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "MILTON",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "740-377-2219",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30.022987",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2943668",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bridget Evans, CMS
• Ruby Mae Evans, CNA, ASSOCIATE BUS
• Evolve Health and Wellness Inc
• Christina Lane Fankhanel
• Denise Fannin
• Justin Faulkner
• Fayette Township Fire District #1
• Fayette Township Fire District #2
• Bethany Felinton
• Tracy Jean Ferguson, FNP-BC

• Dentist in South Point, OH
• Providers in South Point, OH by specialty
• Dentist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.