# BRANDON KENT FARRELL DDS PA II

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1801124789
- **Authorized official:** MR. BARRY C FARRELL (PRESIDENT)
- **Authorized official phone:** (910) 508-2346

## Contact information

- **Practice address:** 1300 BRIDGE BARRIER RD, CAROLINA BEACH, NC 28428-3938
- **Practice address phone:** (910) 458-9401
- **Practice address fax:** (910) 458-3495
- **Mailing address:** 1300 BRIDGE BARRIER RD, CAROLINA BEACH, NC 28428-3938
- **Mailing address phone:** (910) 458-9401
- **Mailing address fax:** (910) 458-3495

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 4592 | NC | Yes |
| 1223G0001X | General Practice Dentistry | 8316 | NC | — |

## Other

- **Enumeration date:** 12/03/2009
- **Last updated:** 12/03/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 8997952 | — | NC |