1285813337 NPI number — DR. NICOLE FALCHINI ORAVEC DMD

Table of content: DR. NICOLE FALCHINI ORAVEC DMD (NPI 1285813337)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1285813337 NPI number — DR. NICOLE FALCHINI ORAVEC DMD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ORAVEC
Provider First Name:
NICOLE
Provider Middle Name:
FALCHINI
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
DMD
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
FALCHINI
Provider Other First Name:
NICOLE
Provider Other Middle Name:
MARIE
Provider Other Name Prefix Text:
DR.
Provider Other Name Suffix Text:
Provider Other Credential Text:
DMD
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1285813337
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
10/25/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
109 CARMELLO LN
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LILLY
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
15938-6012
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
814-886-8106
Provider Business Mailing Address Fax Number:
814-886-8106

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
109 CARMELLO LN
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LILLY
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15938-6012
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
814-886-8106
Provider Business Practice Location Address Fax Number:
814-886-8106
Provider Enumeration Date:
10/25/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 122300000X , with the licence number:  DS037136 , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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