MEDICARE: DR. EDWARD M FARSHT DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	7415	MN

General Provider Information

NPI Number	:	1518040658
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. EDWARD M FARSHT DDS

Provider Business Mailing Address
First Line	:	11529 ASHLEY CT
Second Line	:
City	:	INVER GROVE HEIGHTS
State	:	MN
Zip	:	55077-5250
Country	:	US
Telephone Number	:	651-454-4839
Fax Number	:

Provider Business Practice Location Address
First Line	:	4204 CEDAR AVE S
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55407-3435
Country	:	US
Telephone Number	:	612-722-9292
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/23/2006
Last Update Date	:	07/08/2007

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