Provider Demographics
NPI:1033298310
Name:FALBO, ALBERT THOMAS (DDS)
Entity Type:Individual
Prefix:DR
First Name:ALBERT
Middle Name:THOMAS
Last Name:FALBO
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 1:2700 E DUPONT AVE
Mailing Address - Street 2:SUITE 6
Mailing Address - City:BELLE
Mailing Address - State:WV
Mailing Address - Zip Code:25015-1842
Mailing Address - Country:US
Mailing Address - Phone:304-949-6600
Mailing Address - Fax:304-949-2804
Practice Address - Street 1:2700 E DUPONT AVE
Practice Address - Street 2:SUITE 6
Practice Address - City:BELLE
Practice Address - State:WV
Practice Address - Zip Code:25015-1842
Practice Address - Country:US
Practice Address - Phone:304-949-6600
Practice Address - Fax:304-949-2804
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV2554B1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice