MEDICARE: NORMAN D FARLEY D.D.S.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223X0400X	Orthodontics and Dentofacial Orthopedics Dentistry	15978	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	760420694	OTHER	TX	FEDERAL TAX IDENTIFICATIO

General Provider Information

NPI Number	:	1174604748
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NORMAN D FARLEY D.D.S.

Provider Business Mailing Address
First Line	:	8000 RESEARCH FOREST DR
Second Line	:	SUITE 150
City	:	THE WOODLANDS
State	:	TX
Zip	:	77382-1504
Country	:	US
Telephone Number	:	281-292-4272
Fax Number	:	281-363-2144

Provider Business Practice Location Address
First Line	:	8000 RESEARCH FOREST DR
Second Line	:	SUITE 150
City	:	THE WOODLANDS
State	:	TX
Zip	:	77382-1504
Country	:	US
Telephone Number	:	281-292-4272
Fax Number	:	281-363-2144

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/18/2006
Last Update Date	:	09/13/2010

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Directions to “ NORMAN D FARLEY D.D.S.” Practice Location

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