Ethan G Farr, DDS
Ethan G Farr, DDS is a Customized Equipment (DME) in Appleton, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2023.
- Licensed in
- WI
- In the registry since
- 2023
- Specialties on file
- 3
What do these letters mean?
- DDS — Doctor of Dental Surgery
- A dentist. DDS and DMD are the same qualification — universities choose which title to award.
Practice location Address checks out
4082 N Richmond StAppleton, WI 54913-9704
Phone: (920) 734-9148
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X · Licence 6001184 (WI) |
|---|---|
| Customized Equipment (DME) | Taxonomy 332BC3200X · Licence 6001184 (WI) |
| Multi-Specialty Clinic/Center | Taxonomy 261QM1300X · Licence 6001184 (WI) |
Record details
| NPI number | 1609550169 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | DDS |
| Sole proprietor | No |
| NPI enumerated | June 14, 2023 |
| Last updated in NPPES | May 13, 2026 |
| Certification date | May 13, 2026 |
| Mailing address | 5433 N Jasper Ln, Appleton, WI 54913-2776 |
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