Provider Demographics
NPI:1972601334
Name:RAYMOND R FARLAND DDS PA
Entity Type:Organization
Organization Name:RAYMOND R FARLAND DDS PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RAYMOND
Authorized Official - Middle Name:RICHARD
Authorized Official - Last Name:FARLAND
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:603-798-5800
Mailing Address - Street 1:283 WEST HOLLIS STREET
Mailing Address - Street 2:
Mailing Address - City:NASHUA
Mailing Address - State:NH
Mailing Address - Zip Code:03060-3036
Mailing Address - Country:US
Mailing Address - Phone:603-881-8409
Mailing Address - Fax:603-881-8409
Practice Address - Street 1:160-2 DOVER ROAD
Practice Address - Street 2:
Practice Address - City:CHICHESTER
Practice Address - State:NH
Practice Address - Zip Code:03258-6537
Practice Address - Country:US
Practice Address - Phone:603-798-5800
Practice Address - Fax:603-798-5805
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH19451223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty