Provider Demographics
NPI:1184750903
Name:FARLEY, MARGARET GRACE (DMD)
Entity type:Individual
Prefix:DR
First Name:MARGARET
Middle Name:GRACE
Last Name:FARLEY
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:DR
Other - First Name:MARGARET
Other - Middle Name:GRACE
Other - Last Name:BRESSLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS DMD
Mailing Address - Street 1:2189 CLEVELAND ST
Mailing Address - Street 2:SUITE 252
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33765-3213
Mailing Address - Country:US
Mailing Address - Phone:727-461-9149
Mailing Address - Fax:727-446-8382
Practice Address - Street 1:2189 CLEVELAND ST
Practice Address - Street 2:SUITE 252
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33765-3213
Practice Address - Country:US
Practice Address - Phone:727-461-9149
Practice Address - Fax:727-446-8382
Is Sole Proprietor?:No
Enumeration Date:2007-02-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN17168122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist