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NPI Code Detail

MEDICARE: DR. JENNIFER R FARRELL DDS

MEDICARE: DR. JENNIFER R FARRELL DDS
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
11223G0001XGeneral Practice Dentistry40135TX
21223G0001XGeneral Practice DentistryDB2025-0486NM
31223G0001XGeneral Practice Dentistry019023442IL

General Provider Information

NPI Number : 1225150378
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JENNIFER R FARRELL DDS
Provider Business Mailing Address
First Line : 900 YALE BLVD NE
Second Line :
City : ALBUQUERQUE
State : NM
Zip : 87131-0001
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 900 YALE BLVD NE
Second Line :
City : ALBUQUERQUE
State : NM
Zip : 87131-0001
Country : US
Telephone Number : 773-456-5226
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/06/2007
Last Update Date : 12/09/2025

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