DR. EDWIN LEE FARRAR (NPI# 1841382728) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841382728 |
| Entity Type | Individual |
| Full Name | DR. EDWIN LEE FARRAR |
| Credential | D.D.S. |
| Practice Address |
630 Lexington Ave Mansfield OH 44907-1500 |
| Practice Telephone | 4197560711 |
| Practice Fax Number | 4197564886 |
| Mailing Telephone | 4197560711 |
| Mailing Fax Number | 4197564886 |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
17535 | OH | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | GA9279161 | 05 |
| Street Address |
630 LEXINGTON AVE |
| City | MANSFIELD |
| State | OH |
| Zip Code | 44907-1500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124036470 | Michael Robert Leech | Dentist | 630 Lexington Ave, Mansfield, OH 44907-1500 | 2006-08-03 |
| 1265042774 | Jessica Gooden | Physical Therapist | 630 Lexington Ave, Mansfield, OH 44907-1500 | 2020-08-10 |
| 1760003891 | Dynamic Dental Specialists, LLC | Dentist | 630 Lexington Ave, Mansfield, OH 44907-1500 | 2020-04-29 |
| 1114484359 | Ryan M Rundle | Physical Therapist | 630 Lexington Ave, Mansfield, OH 44907-1500 | 2019-02-25 |
| 1306340567 | Oakwood Oral and Maxillofacial Surgery, Christopher N. Beale, Dds, LLC | Dentist | 630 Lexington Ave, Mansfield, OH 44907-1500 | 2018-03-22 |
| 1306077656 | Timothy Scott Bartholomew | Dentist | 630 Lexington Ave, Mansfield, OH 44907-1500 | 2009-08-05 |
| 1164652822 | Mid Ohio Infectious Diseases Clinic LLC | Clinic/Center | 630 Lexington Ave, Mansfield, OH 44907-1500 | 2009-07-16 |
| 1285896803 | Bruce A. Martin, M.d., L.L.C. | Internal Medicine | 630 Lexington Ave, Mansfield, OH 44907-1500 | 2008-06-25 |
| 1730271529 | Gary Ernest Owens | Dentist | 630 Lexington Ave, Mansfield, OH 44907-1500 | 2006-09-29 |
| 1780776575 | Edwin L Farrar, Dds Inc | Dentist | 630 Lexington Ave, Mansfield, OH 44907-1500 | 2006-09-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053932434 | Kerri Nichole Tolliver | Licensed Practical Nurse | Mansfield Comprehensive Treatment Center, 475 Lexington Ave, Mansfield, OH 44907 | 2020-04-27 |
| 1790325371 | Gabrielle Smith | Licensed Practical Nurse | 707 Scholl Rd, Mansfield, OH 44907 | 2020-01-10 |
| 1912544982 | Heidi L Mathews | Behavior Technician | 270 Sterkel Blvd., Mansfield, OH 44907 | 2019-12-09 |
| 1851942254 | Misty J Kline | Licensed Practical Nurse | 707 Scholl Rd., Mansfield, OH 44907 | 2019-09-26 |
| 1528533320 | Ohio Treatment Center, LLC | Clinic/Center | 475 Lexington Ave., Mansfield, OH 44907 | 2018-10-08 |
| 1750898722 | Hannah Rose Hardin | Behavior Technician | 1033 Larchwood R, Mansfield, OH 44907 | 2017-12-29 |
| 1932548856 | Jessica Alexis Taylor | Counselor | 641 Scholl Rd., Mansfield, OH 44907 | 2013-06-25 |
| 1336495258 | Sonal Sinha | Psychiatry & Neurology | 341 Cline Ave Ste 1, Mansfield, OH 44907 | 2012-07-29 |
| 1427321579 | Tara Kightlinger | Community Health Worker | 442 Brenda Dr, Mansfield, OH 44907 | 2012-02-21 |
| 1649557620 | William Scott Olar | Chiropractor | 1179 Lexington Ave, Mansfield, OH 44907 | 2011-11-04 |
| Find all providers in zip 44907 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972771053 | Mansfield Oral and Facial Surgery | Dentist | 1705 Fountainview Dr #103, Mansfield, TX 76063 | 2008-02-12 |
| 1083793210 | Marie Christine Boucher | Dentist | 10 Higgins Highway, Mansfield, CT 06250 | 2006-11-06 |
| 1871547893 | Michael Derae Sheppard | Dentist | 2310 Fm 157 North, Suite 103, Mansfield, TX 76063 | 2006-05-22 |
| 1780632307 | Douglas Philip Sinn | Dentist | 1752 Broad Park Cir N, #100, Mansfield, TX 76063-7821 | 2006-05-05 |
| 1790752350 | Kenneth J. Molnar | Dentist | 2191 Park Ave W, Mansfield, OH 44906-1226 | 2006-03-02 |
| 1760003891 | Dynamic Dental Specialists, LLC | Dentist | 630 Lexington Ave, Mansfield, OH 44907-1500 | 2020-04-29 |
| 1306340567 | Oakwood Oral and Maxillofacial Surgery, Christopher N. Beale, Dds, LLC | Dentist | 630 Lexington Ave, Mansfield, OH 44907-1500 | 2018-03-22 |
| 1306077656 | Timothy Scott Bartholomew | Dentist | 630 Lexington Ave, Mansfield, OH 44907-1500 | 2009-08-05 |
| 1467694208 | The Center for Oral, Facial, and Implant Surgery Pa | Dentist | 2310 Highway 157 N, Suite 103, Mansfield, TX 76063-8844 | 2009-03-25 |
| 1518125749 | Dr Jon D Turesky Dmd | Dentist | 100 Copeland Drive, Mansfield, MA 02048 | 2008-05-23 |
| Find all providers in MANSFIELD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.