Individual
DR. PAUL R FARRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
517 E LANCASTER AVE, SHILLINGTON, PA 19607-1364
(610) 777-7646
(610) 777-7570
Mailing address
517 E LANCASTER AVE, SHILLINGTON, PA 19607-1364
(610) 777-7646
(610) 777-7570
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DS-022780-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0009905440001
—
PA
05
—
0009905440002
—
PA
01
—
18605
HEALTH AM/HEALTH ASSURANC
PA
01
—
50004504
CAPITAL BLUE CROSS
PA
01
—
9922780
DELTA DENTAL OF PA
PA
01
—
FA405924
HIGHMARK BLUE SHIELD
PA
Enumeration date
09/21/2006
Last updated
01/29/2008
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