Healthcare Provider Details

I. General information

NPI: 1912832908
Provider Name (Legal Business Name): ROCKWELL HENRY FARRELL DMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/12/2026
Last Update Date: 06/12/2026
Certification Date: 05/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

540 FIELDCREST DR
THE VILLAGES FL
32162-4601
US

IV. Provider business mailing address

9934 SE 64TH AVE
BELLEVIEW FL
34420-6374
US

V. Phone/Fax

Practice location:
  • Phone: 352-205-7667
  • Fax:
Mailing address:
  • Phone: 352-693-8207
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberDN31788
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: