BRADLEY L FARR


Address: 625 W Southern Ave Ste E-145, Mesa, AZ 85210-5030
Phone: 4803320577

BRADLEY L FARR (NPI# 1962785097) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1962785097
Entity Type Individual
Full Name BRADLEY L FARR
Credential DDS
Practice Address 625 W Southern Ave Ste E-145
Mesa
AZ 85210-5030
Practice Telephone 4803320577
Practice Fax Number 6024831635
Mailing Telephone 4803320577
Mailing Fax Number 6024831635
Enumeration Date 2011-09-26
Last Update Date 2016-06-28
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223D0004X Dentist
Specialization: Dentist Anesthesiologist
D008883 AZ Dental Providers

Other Providers BRADLEY FARR

NPI Name Taxonomy Address Enumeration
1093754699 Bradley G Farr Chiropractor 120 W 18th St, Horton, KS 66439-1211 2006-06-06

Office Location

Street Address 625 W SOUTHERN AVE STE E-145
City MESA
State AZ
Zip Code 85210-5030

Providers in the same location

NPI Name Taxonomy Address Enumeration
1184799538 Reuben Nelson Turner Dentist 625 W Southern Ave Ste E-145, Mesa, AZ 85210-5030 2006-11-21
1629214820 Matthew Ryan Wall Dentist 625 W Southern Ave Ste E-145, Mesa, AZ 85210-5030 2008-12-18
1407994676 Desert State Dental Anesthesia, LLC Dentist 625 W Southern Ave Ste E-145, Mesa, AZ 85210-5030 2007-02-01
1295893196 Spencer K. Wilde Dentist 625 W Southern Ave Ste E-145, Mesa, AZ 85210-5030 2006-12-04

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1497382501 Mesa Center for Family Medicine Internal Medicine 2034 S Alma School Road, Suite #101, Mesa, AZ 85210 2020-03-26
1780177121 Jessica Cannata Speech-Language Pathologist 2150 S Country Club Rd, Suite 20, Mesa, AZ 85210 2018-06-11
1831680305 Alexandra Katherine Ebong Nurse Practitioner 1950 S. Country Club Drive, Ste 102, Mesa, AZ 85210 2018-05-21
1548762719 Russell D. Meldrum, M.d. Pllc Orthopaedic Surgery 855 W. Southern Ave., #1114, Mesa, AZ 85210 2018-03-05
1023510435 Denise M Bruno-krupp Counselor 1830 S. Alma School Rd. Suite 101, Mesa, AZ 85210 2018-03-01
1609374529 Gene R Lullo Social Worker 1830 S Alma School Rd Suite 101, Mesa, AZ 85210 2018-01-25
1295264000 Ashley P Smith Naturopath 601 S Alma School Rd, Apt 101, Mesa, AZ 85210 2017-06-06
1386184059 Brittany Johnson Counselor 1745 S Alma School Rd Ste 230, Mesa, AZ 85210 2017-03-01
1487190880 Mesa Valley Modern Dentistry, LLP Dentist 1712 S, Country Club Drive, Ste 104, Mesa, AZ 85210 2017-01-10
1821544529 Sandra Coren Licensed Practical Nurse 32 S Mcdonald, Tlc, Mesa, AZ 85210 2016-09-01
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Taxonomy Information

Taxonomy Code 1223D0004X
Grouping Dental Providers
Classification Dentist
Specialization Dentist Anesthesiologist

Taxonomy Definition

A dentist who has successfully completed an accredited postdoctoral anesthesiology residency training program for dentists of two or more years duration, in accord with Commission on Dental Accreditation’s Standards for Dental Anesthesiology Residency Programs, and/or meets the eligibility requirements for examination by the American Dental Board of Anesthesiology.
Notes: Source: The American Society of Dentist Anesthesiologists [1/1/2013: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1184799538 Reuben Nelson Turner Dentist 625 W Southern Ave Ste E-145, Mesa, AZ 85210-5030 2006-11-21
1811066541 Mari Cynthia Fukami Dentist 625 W Southern Ave, Ste E-145, Mesa, AZ 85210-5030 2006-11-07
1972864528 Aaron Legrand Roberts Dentist 625 W Southern Ave, Ste E-145, Mesa, AZ 85210-5030 2012-05-30
1407994676 Desert State Dental Anesthesia, LLC Dentist 625 W Southern Ave Ste E-145, Mesa, AZ 85210-5030 2007-02-01
1295893196 Spencer K. Wilde Dentist 625 W Southern Ave Ste E-145, Mesa, AZ 85210-5030 2006-12-04

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1699252544 Green States Anesthesia Pllc Dentist 3343 E Indigo Bay Ct, Gilbert, AZ 85234-1737 2018-07-24
1760847628 Sleepcare Dental LLC Dentist 625 W Deer Valley Rd Ste 103622, Phoenix, AZ 85027-2138 2015-12-20
1326420415 Trent Nielsen Dentist 12417 W Encanto Blvd, Avondale, AZ 85392-6515 2015-06-24
1144660358 Thanh Hoang Phan Dentist 14100 N 83rd Ave Ste 280, Peoria, AZ 85381-5660 2013-07-02
1376108035 Tcp Anesthesia Services Pllc Dentist 695 E Cottonwood Ln, Casa Grande, AZ 85122-2023 2019-05-07
1881185791 Comfort Care Anesthesia, LLC Dentist 13601 N Canterbury Dr, Phoenix, AZ 85023-6290 2018-05-25
1689025256 Arizona Dental Anesthesia Pllc Dentist 14100 N 83rd Ave Ste 280, Peoria, AZ 85381-5660 2016-06-24
1700241809 Arizona Anesthesia for Dentistry, LLC Dentist 6600 N Oracle Rd, Ste 110, Tucson, AZ 85704-5676 2015-12-16
1447641139 Minsoek Kang Dentistry, Pllc Dentist 15033 W Bell Rd, Ste 175, Surprise, AZ 85374-3217 2015-02-17
1518366111 East Valley Dental Anesthesia, Pllc Dentist 67 S Higley Rd, Suite 103, Gilbert, AZ 85296-1166 2014-08-19
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Competitor

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City MESA
Zip Code 85210

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Dataset Information

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.

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