Breana Monique Farris
Dental Assistant
16472 E 8 Mile Rd
Detroit
, Michigan 48205-1517
Breana Monique Farris
Dental Assistant
16472 E 8 Mile Rd
Detroit
, Michigan 48205-1517
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About
Features
Specialties
- Dental Assistant
Languages spoken
- English
Location
First Address
- Breana Monique Farris
- 16472 E 8 Mile Rd
- Detroit, MI
- Zip : 48205-1517
- Phone :
Second Address
- Breana Monique Farris
- 16472 E 8 Mile Rd
- Detroit, MI
- Zip : 48205-1517
- Phone : (586) 522-9470
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Is Breana Monique Farris accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 126800000X | Dental Assistant | ||
| Y | 126800000X | Dental Assistant | MI |
National Provider Identifier
| NPI | 1154972354 |
|---|---|
| Provider Name | Breana Monique Farris |
| First Address | Detroit, MI 48205-1517 |
| Second Address | Detroit, MI 48205-1517 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/09/2019 |
| Last Update Date | 27/09/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.