Provider Demographics
NPI:1497774905
Name:FALCONE, FRANK JR (DMD)
Entity Type:Individual
Prefix:DR
First Name:FRANK
Middle Name:
Last Name:FALCONE
Suffix:JR
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:509 LEE STREET
Mailing Address - Street 2:
Mailing Address - City:REHOBOTH BEACH
Mailing Address - State:DE
Mailing Address - Zip Code:19971-1837
Mailing Address - Country:US
Mailing Address - Phone:570-436-0929
Mailing Address - Fax:
Practice Address - Street 1:509 LEE STREET
Practice Address - Street 2:
Practice Address - City:REHOBOTH BEACH
Practice Address - State:DE
Practice Address - Zip Code:19971-1837
Practice Address - Country:US
Practice Address - Phone:570-436-0929
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-18
Last Update Date:2023-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS-027976-L1223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA711060Medicare ID - Type Unspecified
PAU56302Medicare UPIN