Provider Demographics
NPI:1356077515
Name:FALIK FAMILY DENTISTRY
Entity Type:Organization
Organization Name:FALIK FAMILY DENTISTRY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:C
Authorized Official - Last Name:FALIK
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:517-543-3143
Mailing Address - Street 1:790 W LAWRENCE AVE
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:MI
Mailing Address - Zip Code:48813-1326
Mailing Address - Country:US
Mailing Address - Phone:517-543-3143
Mailing Address - Fax:517-543-2909
Practice Address - Street 1:790 W LAWRENCE AVE
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:MI
Practice Address - Zip Code:48813-1326
Practice Address - Country:US
Practice Address - Phone:517-543-3143
Practice Address - Fax:517-543-2909
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-28
Last Update Date:2022-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental