Provider Demographics
NPI:1952477846
Name:FARTHING, ANNETTE TEPNER (DDS)
Entity Type:Individual
Prefix:DR
First Name:ANNETTE
Middle Name:TEPNER
Last Name:FARTHING
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7725 S EMERSON AVENUE
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46237-8654
Mailing Address - Country:US
Mailing Address - Phone:317-882-7694
Mailing Address - Fax:317-882-8234
Practice Address - Street 1:7725 S EMERSON AVENUE
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46237-8654
Practice Address - Country:US
Practice Address - Phone:317-882-7694
Practice Address - Fax:317-882-8234
Is Sole Proprietor?:No
Enumeration Date:2006-11-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN12007985A1223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry
Provider Identifiers
StateIdentifier IDID TypeIssuer
067438OtherUNITED CONCORDIA