Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Thomas Raymond Farrell IV

Individual provider Dentist · NPI 1417368911

Dr. Thomas Raymond Farrell IV is a Dentist in Jacksonville, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2014
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Practice location Address checks out

800 Dunn Ave
Jacksonville, FL 32218-4803
Phone: (904) 240-1941
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 21367 (FL)

Record details

NPI number1417368911
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 19, 2014
Last updated in NPPESJuly 29, 2015

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