Provider Demographics
NPI:1164461869
Name:FARRINGER, JOHN L III (DDS)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:L
Last Name:FARRINGER
Suffix:III
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4205 HILLSBORO RD
Mailing Address - Street 2:SUITE#B-105
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37215-3336
Mailing Address - Country:US
Mailing Address - Phone:615-385-1190
Mailing Address - Fax:615-386-9032
Practice Address - Street 1:4205 HILLSBORO RD
Practice Address - Street 2:SUITE#B-105
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37215-3336
Practice Address - Country:US
Practice Address - Phone:615-385-1190
Practice Address - Fax:615-386-9032
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-06
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNDS24721223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN2007638OtherBCBS PROVIDER ID
TN2007638OtherBCBS PROVIDER ID
TN3217904Medicare ID - Type UnspecifiedPROVIDER ID