Individual provider · Type 1 NPI

Ethan G. Farr, DDS

General Practice Dentistry · Appleton, WI

NPI number 1609550169 Active

Practice location

4082 N Richmond St
Appleton, WI 54913-9704

Call (920) 734-9148 Map

Mailing address

5433 N Jasper Ln
Appleton, WI 54913-2776

Specialties and licenses

TaxonomyCodeLicense
Customized Equipment (DME) 332BC3200X6001184 (WI)
Multi-Specialty Clinic/Center 261QM1300X6001184 (WI)
General Practice Dentistry Primary 1223G0001X6001184 (WI)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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About NPI 1609550169

Ethan G. Farr, DDS's National Provider Identifier is 1609550169, issued on Jun 14, 2023. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Appleton, WI. The record was last updated on May 13, 2026.