Provider Demographics
NPI:1801789680
Name:FARR FAMILY DENTISTRY LLC
Entity type:Organization
Organization Name:FARR FAMILY DENTISTRY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:HARRISON
Authorized Official - Middle Name:TAYLOR
Authorized Official - Last Name:FARR
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:478-223-9975
Mailing Address - Street 1:395 MEADOW RIDGE CIRCLE
Mailing Address - Street 2:
Mailing Address - City:MILLEDGEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:31061-8741
Mailing Address - Country:US
Mailing Address - Phone:478-223-9975
Mailing Address - Fax:478-223-9320
Practice Address - Street 1:395 MEADOW RIDGE CIRCLE
Practice Address - Street 2:
Practice Address - City:MILLEDGEVILLE
Practice Address - State:GA
Practice Address - Zip Code:31061-8741
Practice Address - Country:US
Practice Address - Phone:478-223-9975
Practice Address - Fax:478-223-9320
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-31
Last Update Date:2025-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty