| Farrey Family Dentistry Llc | |
|
513 S Main St Moultrie GA 31768-4637 | |
| (229) 890-3908 | |
| (229) 890-3909 |
| Full Name | Farrey Family Dentistry Llc |
|---|---|
| Speciality | Dentist |
| Location | 513 S Main St, Moultrie, Georgia |
| Authorized Official Name and Position | Kajuana Pearldealia Farrey (DENTAL DIRECTOR) |
| Authorized Official Contact | 2298903908 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Farrey Family Dentistry Llc Po Box 2229 Moultrie GA 31776-2229 Ph: (229) 890-3908 | Farrey Family Dentistry Llc 513 S Main St Moultrie GA 31768-4637 Ph: (229) 890-3908 |
| NPI Number | 1265731442 |
|---|---|
| Provider Enumeration Date | 03/27/2011 |
| Last Update Date | 06/29/2022 |
| Medicare PECOS PAC ID | 7911394572 |
|---|---|
| Medicare Enrollment ID | O20220428001965 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265731442 | NPI | - | NPPES |
| 148974731B | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DN013880 (Georgia) | Primary |
| Provider Name | Kajuana Farrey |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1790911170 PECOS PAC ID: 7113073909 Enrollment ID: I20090921000036 |
Jeffery P. Barnett, D.m.d., P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5 Sweet Bay Ct, Suite A, Moultrie, GA 31768 Phone: 229-985-3367 Fax: 229-890-8129 | |
Moultrie Orthodontics, P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 12 Longleaf Office Park, Moultrie, GA 31768 Phone: 229-985-4715 Fax: 229-985-0997 | |
Southern Orthodontics Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 12 Long Leaf Office Park, Moultrie, GA 31768 Phone: 229-985-4715 Fax: 229-985-0997 | |
Thomasville Dental Associates Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 307 5th St Se, Moultrie, GA 31768 Phone: 229-985-5092 Fax: 229-985-0138 | |
Timothy B Fagan Dmd Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 7 Longleaf Office Park, Moultrie, GA 31768 Phone: 229-985-4674 Fax: 229-985-0900 |