Provider Demographics
NPI:1124272158
Name:DARRAH, JOEL W (DDS)
Entity type:Individual
Prefix:DR
First Name:JOEL
Middle Name:W
Last Name:DARRAH
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6222 MEREDITH WAY
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28405-7712
Mailing Address - Country:US
Mailing Address - Phone:614-394-4233
Mailing Address - Fax:
Practice Address - Street 1:5531 ELEANOR ROOSEVELT LN
Practice Address - Street 2:COMMWELL HEALTH OF PENDERLEA
Practice Address - City:WILLARD
Practice Address - State:NC
Practice Address - Zip Code:28478-6621
Practice Address - Country:US
Practice Address - Phone:910-285-0400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-11-04
Last Update Date:2012-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC45181223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice