Provider Demographics
NPI:1609890458
Name:MCFARLAND, GARRET C (DDS)
Entity type:Individual
Prefix:DR
First Name:GARRET
Middle Name:C
Last Name:MCFARLAND
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:520 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:MILES CITY
Mailing Address - State:MT
Mailing Address - Zip Code:59301-3019
Mailing Address - Country:US
Mailing Address - Phone:406-874-9637
Mailing Address - Fax:406-874-0215
Practice Address - Street 1:520 MAIN ST
Practice Address - Street 2:
Practice Address - City:MILES CITY
Practice Address - State:MT
Practice Address - Zip Code:59301-3019
Practice Address - Country:US
Practice Address - Phone:406-874-9637
Practice Address - Fax:406-874-0215
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT18911223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT0121004Medicaid