Provider Demographics
NPI:1275332959
Name:FARRIOR FAMILY DENTISTRY
Entity type:Organization
Organization Name:FARRIOR FAMILY DENTISTRY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:OLIN
Authorized Official - Middle Name:FIELDS
Authorized Official - Last Name:FARRIOR
Authorized Official - Suffix:JR
Authorized Official - Credentials:DMD
Authorized Official - Phone:207-725-6203
Mailing Address - Street 1:5 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:TOPSHAM
Mailing Address - State:ME
Mailing Address - Zip Code:04086-1216
Mailing Address - Country:US
Mailing Address - Phone:207-725-6203
Mailing Address - Fax:207-729-0727
Practice Address - Street 1:5 MAIN ST
Practice Address - Street 2:
Practice Address - City:TOPSHAM
Practice Address - State:ME
Practice Address - Zip Code:04086-1216
Practice Address - Country:US
Practice Address - Phone:207-725-6203
Practice Address - Fax:207-729-0727
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-13
Last Update Date:2025-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental