Provider Demographics
NPI:1518179241
Name:FARR, ALEXANDER F (DDS)
Entity Type:Individual
Prefix:
First Name:ALEXANDER
Middle Name:F
Last Name:FARR
Suffix:
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 1:535 MILLER AVE
Mailing Address - Street 2:
Mailing Address - City:MILL VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:94941-2905
Mailing Address - Country:US
Mailing Address - Phone:415-921-7474
Mailing Address - Fax:415-388-0283
Practice Address - Street 1:535 MILLER AVE
Practice Address - Street 2:
Practice Address - City:MILL VALLEY
Practice Address - State:CA
Practice Address - Zip Code:94941-2905
Practice Address - Country:US
Practice Address - Phone:415-921-7474
Practice Address - Fax:415-388-0283
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-04
Last Update Date:2008-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA456871223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice