Provider Demographics
NPI:1235329442
Name:FALVEY, PAUL IMRE (DDS MS)
Entity Type:Individual
Prefix:DR
First Name:PAUL
Middle Name:IMRE
Last Name:FALVEY
Suffix:
Gender:M
Credentials:DDS MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:316 S AUBURN ST
Mailing Address - Street 2:SUITE 4
Mailing Address - City:GRASS VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:95945-7298
Mailing Address - Country:US
Mailing Address - Phone:530-273-5522
Mailing Address - Fax:530-273-6069
Practice Address - Street 1:316 S AUBURN ST
Practice Address - Street 2:SUITE 4
Practice Address - City:GRASS VALLEY
Practice Address - State:CA
Practice Address - Zip Code:95945-7298
Practice Address - Country:US
Practice Address - Phone:530-273-5522
Practice Address - Fax:530-273-6069
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-25
Last Update Date:2007-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC32706122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist