Farese Family Dental

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3293-04 Issued in MS

Legal business name

FARESE FAMILY DENTAL

Practice address

2212 Jackson Ave W
Oxford, MS 38655-5409

Phone

(662) 234-8463

NPI assigned

May 2, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Lea M Farese, D.M.D.

Title

Dentist

Phone

(662) 234-8463

Specialties & licenses 2

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1932321007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "522 WEDGEWOOD",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386555409",
            "telephone_number": "662-315-5834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2212 JACKSON AVE W",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386555409",
            "telephone_number": "662-234-8463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FARESE FAMILY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FARESE",
        "authorized_official_first_name": "LEA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "662-234-8463",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MS",
            "license": "3293-04",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MS",
            "license": "3231-02",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtney Everett
• Angela Denise Evins, M.S.
• Charles Ezelle, CRNA
• Jeannie (None) Falkner, PHD
• Family Cancer Center, PLLC
• Molly Barbieri Farmer, LCSW
• William Doty Farmer, MD
• Jane Evelyn Farrington
• Kimberly Tanner Fava, WHCNP, APRN
• Asheton Fearing, MSW

• General Practice Dentistry in Oxford, MS
• Providers in Oxford, MS by specialty
• General Practice Dentistry in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.