Provider Demographics
NPI:1346477601
Name:SMILES BY FARR, LTD.
Entity Type:Organization
Organization Name:SMILES BY FARR, LTD.
Other - Org Name:FARR DENTAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:IRVING
Authorized Official - Last Name:FARR
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:847-669-2787
Mailing Address - Street 1:9744 N IL ROUTE 47
Mailing Address - Street 2:
Mailing Address - City:HUNTLEY
Mailing Address - State:IL
Mailing Address - Zip Code:60142-9323
Mailing Address - Country:US
Mailing Address - Phone:847-669-2787
Mailing Address - Fax:847-669-2936
Practice Address - Street 1:9744 N IL ROUTE 47
Practice Address - Street 2:
Practice Address - City:HUNTLEY
Practice Address - State:IL
Practice Address - Zip Code:60142-9323
Practice Address - Country:US
Practice Address - Phone:847-669-2787
Practice Address - Fax:847-669-2936
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-14
Last Update Date:2016-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL0190267471223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty