Provider Demographics
NPI:1205969680
Name:LAFALCE, CARMELA (DMD)
Entity type:Individual
Prefix:MRS
First Name:CARMELA
Middle Name:
Last Name:LAFALCE
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:616 WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:TOMS RIVER
Mailing Address - State:NJ
Mailing Address - Zip Code:08753-6789
Mailing Address - Country:US
Mailing Address - Phone:732-244-4114
Mailing Address - Fax:732-244-8317
Practice Address - Street 1:616 WASHINGTON STREET
Practice Address - Street 2:
Practice Address - City:TOMS RIVER
Practice Address - State:NJ
Practice Address - Zip Code:08753-6789
Practice Address - Country:US
Practice Address - Phone:732-244-4114
Practice Address - Fax:732-244-8317
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-14
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DIO17590001223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice