Provider Demographics
NPI:1689982787
Name:NICOLE FALCHINI ORAVEC, DMD, PC
Entity Type:Organization
Organization Name:NICOLE FALCHINI ORAVEC, DMD, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:NICOLE
Authorized Official - Middle Name:FALCHINI
Authorized Official - Last Name:ORAVEC
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:814-886-8106
Mailing Address - Street 1:109 CARMELLO LN
Mailing Address - Street 2:
Mailing Address - City:LILLY
Mailing Address - State:PA
Mailing Address - Zip Code:15938-6012
Mailing Address - Country:US
Mailing Address - Phone:814-886-8106
Mailing Address - Fax:814-886-8106
Practice Address - Street 1:109 CARMELLO LN
Practice Address - Street 2:
Practice Address - City:LILLY
Practice Address - State:PA
Practice Address - Zip Code:15938-6012
Practice Address - Country:US
Practice Address - Phone:814-886-8106
Practice Address - Fax:814-886-8106
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-23
Last Update Date:2010-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS0371361223G0001X
PADS023485L1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty