Gilbert John Farrell, D.D.S.
Individual provider Active NPI General Practice Dentistry · Middlefield, OH
NPI 1457570533 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1457570533
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 12862 (OH)
- Practice address
- 16022 E High St.
Middlefield, OH 44062-0766 - Phone
- (440) 632-1908
- Fax
- (440) 632-1768
- NPI assigned
- Apr 25, 2007
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12862 | OH | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 12862 | OH | Yes |
Addresses
Primary practice location
16022 E High St.
Middlefield, OH 44062-0766
Mailing address
PO Box 766
16022 East High Street
Middlefield, OH 44062-0766
Phone (440) 632-1908
Other providers in Middlefield, OH
- Garrett Ethan Edinger
- Maya Eisenberg
- William E. Ervine Jr.
- Stephen Evers
- Craig John Farrell
- Fisher Integrated Care
- Heather D Fisher
- Jaime A Fisher
- Jon J Floriano
- Full Life Therapy LTD
All providers in Middlefield, OH · General Practice Dentistry in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.