# DRS FARRELL, FARRELL, NALE, COOK, KAPITAN, MOHAMED, FRANCO, WESSEL, HO

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** DRS FARRELL, FARRELL, NALE, COOK, KAPITAN, MOHAMED, FRANCO, WESSEL, HO
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1679203913
- **Legal business name:** DRS FARRELL, FARRELL, NALE, COOK, KAPITAN, MOHAMED, FRANCO, WESSEL, HO
- **Authorized official:** JENNIFER RAYLE HOCK (DIRECTOR OF BILLING)
- **Authorized official phone:** (704) 295-4653

## Contact information

- **Practice address:** 122 E KINDERTON WAY, BERMUDA RUN, NC 27006-7303
- **Practice address phone:** (336) 998-3300
- **Mailing address:** 5550 77 CENTER DR STE 320, CHARLOTTE, NC 28217-0739
- **Mailing address phone:** (704) 295-4653
- **Mailing address fax:** (704) 295-4288

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | Yes |
| 204E00000X | Oral & Maxillofacial Surgery (D.M.D.) | — | NULL | — |
| 204E00000X | Oral & Maxillofacial Surgery (D.M.D.) | — | — | — |

## Other

- **Enumeration date:** 06/10/2022
- **Last updated:** 12/01/2022