Provider Demographics
NPI:1689692568
Name:FALCONE ORAL AND MAXILLOFACIAL SURGERY, P.C.
Entity Type:Organization
Organization Name:FALCONE ORAL AND MAXILLOFACIAL SURGERY, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:
Authorized Official - Last Name:FALCONE
Authorized Official - Suffix:JR
Authorized Official - Credentials:DMD
Authorized Official - Phone:570-436-0929
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:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-18
Last Update Date:2023-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS027976L1223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAFA711060Medicare ID - Type Unspecified
PAU56302Medicare UPIN