Farrow, Vanita D

Farrow, Vanita D is an individual health care provider with primary practice located at 501 S Preston St , Louisville KY 40202-1701. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Farrow, Vanita D can be contacted via phone (502) 852-1209.

Contact Information

Primary practice address
501 S Preston St Louisville KY 40202-1701
Phone: (502) 852-1209
Fax: (502) 852-7163
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 6638 Kentucky

Profile Details

NPI number 1609872258
LBN Legal business name Farrow, Vanita D
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2005
Last updated Jul 30th, 2009 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609872258 NPPES
Kentucky Other 17135 DORAL DENTA
Kentucky MEDICAID 60066388 DORAL DENTA

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