Provider Demographics
NPI:1851845036
Name:FALBO, MICHELLE MARGARET (DDS)
Entity Type:Individual
Prefix:DR
First Name:MICHELLE
Middle Name:MARGARET
Last Name:FALBO
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3724 MASON ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68105-1837
Mailing Address - Country:US
Mailing Address - Phone:651-470-7304
Mailing Address - Fax:
Practice Address - Street 1:10365 PACIFIC ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68114-4713
Practice Address - Country:US
Practice Address - Phone:402-932-0282
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-05
Last Update Date:2016-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE7328122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist