Provider Demographics
NPI:1083121818
Name:FALDENT GROUP PLLC
Entity Type:Organization
Organization Name:FALDENT GROUP PLLC
Other - Org Name:FALBO DENTAL OFFICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:FALBO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:304-949-6600
Mailing Address - Street 1:2700 E DUPONT AVE STE 6
Mailing Address - Street 2:
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:304-949-6640
Practice Address - Street 1:2700 E DUPONT AVE STE 6
Practice Address - Street 2:
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:304-949-6640
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-02
Last Update Date:2018-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty