| Farley Dental Care Llc | |
|
301 Park Ave South Point OH 45680-9635 | |
| (740) 377-2219 | |
| (740) 377-4987 |
| Full Name | Farley Dental Care Llc |
|---|---|
| Speciality | Dentist |
| Location | 301 Park Ave, South Point, Ohio |
| Authorized Official Name and Position | John Milton Farley (OWNER/DENTIST) |
| Authorized Official Contact | 7403772219 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Farley Dental Care Llc Po Box 512 South Point OH 45680-0512 Ph: (740) 377-2219 | Farley Dental Care Llc 301 Park Ave South Point OH 45680-9635 Ph: (740) 377-2219 |
| NPI Number | 1942623475 |
|---|---|
| Provider Enumeration Date | 02/04/2014 |
| Last Update Date | 02/04/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942623475 | NPI | - | NPPES |
| 2943668 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 30.022987 (Ohio) | Primary |
Hal S. Jeter, Dds, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 804 4th St E, South Point, OH 45680 Phone: 740-377-2020 |