Ethan G Farr is a Appleton, Wisconsin based Dentist who is specialized in
Dentist. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Ethan G Farr is
6001184 for General Practice Dentistry in Wisconsin. His current practice location is
4082 N Richmond St, Appleton. Patients can reach him at
920-734-9148.
Ethan G Farr is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Ethan G Farr speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Ethan G Farr |
| Specialization: | Dentist |
| Gender: | Male |
| Credentials: | DDS |
| Accepts Medicare Assignment: | No |
| Practice Address: | 4082 N Richmond St, Appleton,
Wisconsin, 54913-9704 |
| Phone: | 920-734-9148 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1609550169 |
| NPI Enumeration Date: | 14 Jun, 2023 |
| NPI Last Update On: | 13 May, 2026 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Ethan G Farr are as mentioned below.
| License Number | Specialization | State | Status | |
| 6001184 | General Practice Dentistry | Wisconsin | Primary | |
| 6001184 | Durable Medical Equipment & Medical Supplies | Wisconsin | Secondary | |
| 6001184 | Clinic/Center | Wisconsin | Secondary | |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 5433 N Jasper Ln,
Appleton, Wisconsin |
| Zip: | 54913-2776 |
| Phone Number: | 920-660-5799 |
Patients can reach Ethan G Farr at
4082 N Richmond St, Appleton, Wisconsin or can
call to book an appointment on 920-734-9148.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
13 July, 2026.