Provider Demographics
NPI:1437583309
Name:REBECCA FALSAFI, DDS, MS, PC
Entity Type:Organization
Organization Name:REBECCA FALSAFI, DDS, MS, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:
Authorized Official - Last Name:FALSAFI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:716-631-2166
Mailing Address - Street 1:6161 TRANSIT RD
Mailing Address - Street 2:SUITE 10
Mailing Address - City:EAST AMHERST
Mailing Address - State:NY
Mailing Address - Zip Code:14051-2606
Mailing Address - Country:US
Mailing Address - Phone:716-631-2166
Mailing Address - Fax:716-639-7312
Practice Address - Street 1:6161 TRANSIT RD
Practice Address - Street 2:SUITE 10
Practice Address - City:EAST AMHERST
Practice Address - State:NY
Practice Address - Zip Code:14051-2606
Practice Address - Country:US
Practice Address - Phone:716-631-2166
Practice Address - Fax:716-639-7312
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-28
Last Update Date:2013-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0440651223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty