Provider Demographics
NPI:1598853475
Name:FARION, MARKO OLEH (DDS)
Entity Type:Individual
Prefix:DR
First Name:MARKO
Middle Name:OLEH
Last Name:FARION
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 1:6649 ROCHESTER RD
Mailing Address - Street 2:SUITE C
Mailing Address - City:TROY
Mailing Address - State:MI
Mailing Address - Zip Code:48085-1389
Mailing Address - Country:US
Mailing Address - Phone:248-879-7240
Mailing Address - Fax:248-879-2034
Practice Address - Street 1:6649 ROCHESTER RD
Practice Address - Street 2:SUITE C
Practice Address - City:TROY
Practice Address - State:MI
Practice Address - Zip Code:48085-1389
Practice Address - Country:US
Practice Address - Phone:248-879-7240
Practice Address - Fax:248-879-2034
Is Sole Proprietor?:No
Enumeration Date:2006-10-10
Last Update Date:2011-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2901015563122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist