MEDICARE: SARAH NORRIS FARMER

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	1223P0221X	Pediatric Dentistry	3795	AR

General Provider Information

NPI Number	:	1740508217
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH NORRIS FARMER

Provider Business Mailing Address
First Line	:	3310 HIGHWAY 5 NORTH
Second Line	:
City	:	BRYANT
State	:	AR
Zip	:	72022
Country	:	US
Telephone Number	:	501-847-7070
Fax Number	:

Provider Business Practice Location Address
First Line	:	3310 HWY 5 N
Second Line	:
City	:	BRYANT
State	:	AR
Zip	:	72019-9031
Country	:	US
Telephone Number	:	501-847-7070
Fax Number	:

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

Provider Enumeration Date	:	05/09/2010
Last Update Date	:	05/10/2017

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Directions to “ SARAH NORRIS FARMER ” Practice Location

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