| Falk Oral & Facial Surgery, Pllc | |
|
6200 North Durango Drive Suite 100 Las Vegas NV 89149-4408 | |
| (702) 660-5574 | |
| Not Available |
| Full Name | Falk Oral & Facial Surgery, Pllc |
|---|---|
| Speciality | Dentist |
| Location | 6200 North Durango Drive, Las Vegas, Nevada |
| Authorized Official Name and Position | Jesse Falk (OWNER) |
| Authorized Official Contact | 7026605574 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Falk Oral & Facial Surgery, Pllc 6200 North Durango Drive Building #12 Suite 100 Las Vegas NV 89149-3903 Ph: () - | Falk Oral & Facial Surgery, Pllc 6200 North Durango Drive Suite 100 Las Vegas NV 89149-4408 Ph: (702) 660-5574 |
| NPI Number | 1922489350 |
|---|---|
| Provider Enumeration Date | 06/11/2015 |
| Last Update Date | 09/30/2020 |
| Medicare PECOS PAC ID | 9436516481 |
|---|---|
| Medicare Enrollment ID | O20230606002345 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922489350 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
| Provider Name | Jesse Falk |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1285924605 PECOS PAC ID: 0345607396 Enrollment ID: I20230606002494 |
| Provider Name | Michael S Moody |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1760739825 PECOS PAC ID: 3173982394 Enrollment ID: I20230706003124 |
| Provider Name | Robert Yau |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1679971790 PECOS PAC ID: 4082088893 Enrollment ID: I20231017002376 |
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