Provider Demographics
NPI:1316561160
Name:FALBO, BRIANA (DMD)
Entity Type:Individual
Prefix:
First Name:BRIANA
Middle Name:
Last Name:FALBO
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:BRIANA
Other - Middle Name:
Other - Last Name:FERGUSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DMD
Mailing Address - Street 1:562 E HIGH ST
Mailing Address - Street 2:
Mailing Address - City:POTTSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19464-5635
Mailing Address - Country:US
Mailing Address - Phone:610-323-6086
Mailing Address - Fax:
Practice Address - Street 1:562 E HIGH ST
Practice Address - Street 2:
Practice Address - City:POTTSTOWN
Practice Address - State:PA
Practice Address - Zip Code:19464-5635
Practice Address - Country:US
Practice Address - Phone:610-323-6086
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-07
Last Update Date:2022-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS0427041223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice