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NPI Code Detail

MEDICARE: DR. DANIEL H FARR M.D., D.D.S., M.S.

MEDICARE: DR. DANIEL H FARR M.D., D.D.S., M.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
11223S0112XOral and Maxillofacial Surgery (Dentist)183981-1NY
21223S0112XOral and Maxillofacial Surgery (Dentist)038959-1NY
31223S0112XOral and Maxillofacial Surgery (Dentist)MD046041LPA

General Provider Information

NPI Number : 1780674796
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DANIEL H FARR M.D., D.D.S., M.S.
Provider Business Mailing Address
First Line : 451 W CHURCH ST
Second Line :
City : ELMIRA
State : NY
Zip : 14901-2636
Country : US
Telephone Number : 607-733-3760
Fax Number : 607-734-6000
Provider Business Practice Location Address
First Line : 451 W CHURCH ST
Second Line :
City : ELMIRA
State : NY
Zip : 14901-2636
Country : US
Telephone Number : 607-733-3760
Fax Number : 607-734-6000
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/21/2005
Last Update Date : 07/17/2007

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