Organization
BRANDON KENT FARRELL DDS PA II
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BARRY C FARRELL (PRESIDENT)
(910) 508-2346
Entity
Organization
Contact information
Practice address
1300 BRIDGE BARRIER RD, CAROLINA BEACH, NC 28428-3938
(910) 458-9401
(910) 458-3495
Mailing address
1300 BRIDGE BARRIER RD, CAROLINA BEACH, NC 28428-3938
(910) 458-9401
(910) 458-3495
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4592
NC
1223G0001X
General Practice Dentistry
8316
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8997952
—
NC
Enumeration date
12/03/2009
Last updated
12/03/2009
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