MEDICARE: WAYNE J. FARBER AND CYNTHIA M. FARBER FAMILY DENTISTRY, INC.

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	122300000X	Dentist		OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1518973320
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WAYNE J. FARBER AND CYNTHIA M. FARBER FAMILY DENTISTRY, INC.

Provider Business Mailing Address
First Line	:	4338 MONTGOMERY RD
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45212-3104
Country	:	US
Telephone Number	:	513-396-7000
Fax Number	:	513-396-7012

Provider Business Practice Location Address
First Line	:	4338 MONTGOMERY RD
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45212-3104
Country	:	US
Telephone Number	:	513-396-7000
Fax Number	:	513-396-7012

Authorized Official
Title or Position	:	PRESIDENT
Name	:	WAYNE FARBER
Credential	:	DDS
Telephone Number	:	513-396-7000

Provider Enumeration Date	:	08/01/2006
Last Update Date	:	07/21/2022

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