Provider Demographics
NPI:1922233881
Name:FARRIOR, ANDREA' LAMAR (DMD)
Entity Type:Individual
Prefix:
First Name:ANDREA'
Middle Name:LAMAR
Last Name:FARRIOR
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8004 FREDERICK JOHN ST.
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37938-2671
Mailing Address - Country:US
Mailing Address - Phone:865-377-3185
Mailing Address - Fax:
Practice Address - Street 1:2937 ESSARY RD.
Practice Address - Street 2:DR. MICHAEL EDENFIELD
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37918
Practice Address - Country:US
Practice Address - Phone:865-686-0050
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-05-21
Last Update Date:2012-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN91531223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice