ETHAN G FARR DDS
NPI 1609550169
Dentist - General Practice in Appleton, WI

Active since June 14, 2023
4082 N RICHMOND ST, APPLETON, WI 54913(920) 734-9148 Get Directions Write a Review

NPPES record last updated: May 13, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 13, 2026, Jun 14, 2023 (2 updates tracked since 2023).

  • Individual
  • Male
  • Dentist
  • General Practice
  • Accepts Insurance

About ETHAN FARR

This page provides the complete NPI Profile along with additional information for Ethan Farr, a provider established in Appleton, Wisconsin with a medical specialization in Dentist, focusing in general practice . The healthcare provider is registered in the NPI registry with number 1609550169 assigned on June 2023. The practitioner's primary taxonomy code is 1223G0001X with license number 6001184 (WI). The provider is registered as an individual and his NPI record was last updated May 2026.

NPI
1609550169 Verify this NPI
Provider Name
ETHAN G FARR DDS
Gender
Male
Entity Type
Individual
Location Address
4082 N RICHMOND ST APPLETON, WI 54913
Location Phone
(920) 734-9148
Mailing Address
5433 N JASPER LN APPLETON, WI 54913
Mailing Phone
(920) 660-5799
Is Sole Proprietor?
No
Enumeration Date
06-14-2023
Last Update Date
05-13-2026
Code Navigator

A dentist like Ethan Farr is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dentist General Practice

Taxonomy Code
1223G0001X
Type
Dental Providers
License No.
6001184
License State
WI
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1261QM1300XAmbulatory Health Care Facilities

Clinic/Center
Multi-Specialty

6001184 (WI)
2332BC3200XSuppliers

Durable Medical Equipment & Medical Supplies
Customized Equipment

6001184 (WI)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • BlueCare Dental 4 Kids? 1A - PPO
  • BlueCare Dental 4 Kids? 1B - PPO
  • BlueCare Dental? 1A - PPO
  • BlueCare Dental? 1B - PPO
  • BlueCare Dental? 1C - PPO
  • BlueCare Dental? 1D - PPO
  • BlueCare Dental 4 Kids? 1A - PPO
  • BlueCare Dental 4 Kids? 1B - PPO
  • BlueCare Dental? 1A - PPO
  • BlueCare Dental? 1B - PPO
  • BlueCare Dental? 1C - PPO
  • BlueCare Dental? 1D - PPO
  • BlueCare Dental 1D - PPO
  • BlueCare Dental 4 Kids? 1A - PPO
  • BlueCare Dental 4 Kids? 1B - PPO
  • BlueCare Dental? 1A - PPO
  • BlueCare Dental? 1B - PPO
  • BlueCare Dental? 1C - PPO
  • Delta Dental Individual and Family High Plan - PPO
  • Delta Dental Individual and Family Low Plan - PPO
  • Delta Dental Individual and Family Low Plan Major - PPO
  • Delta Dental PPO Plus Premier Family Plan High Option - PPO
  • Delta Dental PPO Plus Premier Family Plan Low Option - PPO
  • Guardian Essentials for Families and Individuals - PPO
  • Guardian Preventive for Families and Individuals - PPO
  • Guardian Preventive Plus for Families and Individuals - PPO
  • Guardian Select for Families and Individuals - PPO
  • Humana Dental Smart Choice - PPO
  • Humana Dental Smart Choice - Basic - PPO
  • Humana Dental Smart Choice - High - PPO
  • Humana Dental Smart Choice - Lite - PPO
  • Humana Dental Smart Choice - Low - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Reviews for ETHAN G FARR DDS

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1609550169, enumerated as an "individual" on June 14, 2023.

The provider is located at 4082 N RICHMOND ST APPLETON, WI 54913 and the phone number is (920) 734-9148.

Dentist with taxonomy code 1223G0001X and a focus in General Practice.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Montana, Blue Cross. Please consult your insurance carrier or call the provider to verify.