Provider Demographics
NPI:1174534663
Name:FARIAN, ZENON J (DDS)
Entity type:Individual
Prefix:
First Name:ZENON
Middle Name:J
Last Name:FARIAN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4101 FAR-O-WAY LANE
Mailing Address - Street 2:
Mailing Address - City:RICHFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:44286
Mailing Address - Country:US
Mailing Address - Phone:440-759-3100
Mailing Address - Fax:
Practice Address - Street 1:229 E WALLINGS RD STE 100
Practice Address - Street 2:
Practice Address - City:BROADVIEW HTS
Practice Address - State:OH
Practice Address - Zip Code:44147-1207
Practice Address - Country:US
Practice Address - Phone:440-526-9100
Practice Address - Fax:440-526-2505
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-10
Last Update Date:2016-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH189641223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice