Mr. Charles D Farrell
Oral and Maxillofacial Surgeon
1212 Duff Ave
Ames
, Iowa 50010-5467
Mr. Charles D Farrell
Oral and Maxillofacial Surgeon
1212 Duff Ave
Ames
, Iowa 50010-5467
(515) 232-3296
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About
Features
Specialties
- Oral and Maxillofacial Surgeon
Languages spoken
- English
Location
First Address
- Mr. Charles D Farrell
- 1212 Duff Ave
- Ames, IA
- Zip : 50010-5467
- Fax : (515) 232-3296
- Phone : (515) 232-6830
Second Address
- Mr. Charles D Farrell
- 1212 Duff Ave
- Ames, IA
- Zip : 50010-5467
- Fax : (515) 232-3296
- Phone : (515) 232-6830
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223S0112X | Oral and Maxillofacial Surgeon | 5764 | IA |
National Provider Identifier
| NPI | 1063497766 |
|---|---|
| Provider Name | Mr. Charles D Farrell |
| First Address | Ames, IA 50010-5467 |
| Second Address | Ames, IA 50010-5467 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/12/2005 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 14605 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.