Provider Demographics
NPI:1710134424
Name:JAMES H FARMERDMD PC
Entity Type:Organization
Organization Name:JAMES H FARMERDMD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:H
Authorized Official - Last Name:FARMER
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:706-754-2815
Mailing Address - Street 1:PO BOX 847
Mailing Address - Street 2:265 RAILROAD AVE.
Mailing Address - City:CLARKESVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30523-0015
Mailing Address - Country:US
Mailing Address - Phone:706-754-2815
Mailing Address - Fax:706-754-4343
Practice Address - Street 1:265 RAILROAD AVE.
Practice Address - Street 2:
Practice Address - City:CLARKESVILLE
Practice Address - State:GA
Practice Address - Zip Code:30523-0015
Practice Address - Country:US
Practice Address - Phone:706-754-2815
Practice Address - Fax:706-754-4343
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-25
Last Update Date:2008-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA0106801223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty