Provider Demographics
NPI:1033367917
Name:MCFARLAND, ANDREW RASMUSSEN (DMD)
Entity Type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:RASMUSSEN
Last Name:MCFARLAND
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1482 N 160 W
Mailing Address - Street 2:
Mailing Address - City:LAYTON
Mailing Address - State:UT
Mailing Address - Zip Code:84041-5868
Mailing Address - Country:US
Mailing Address - Phone:954-599-2931
Mailing Address - Fax:
Practice Address - Street 1:1482 N 160 W
Practice Address - Street 2:
Practice Address - City:LAYTON
Practice Address - State:UT
Practice Address - Zip Code:84041-5868
Practice Address - Country:US
Practice Address - Phone:954-599-2931
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-04
Last Update Date:2012-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT3082853-8903122300000X
UT3082853-9922122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM273267056Medicaid