Healthcare Provider Details

I. General information

NPI: 1548353014
Provider Name (Legal Business Name): MICHAEL IRVING FALKEL DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/02/2006
Last Update Date: 09/18/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

333 EL DORADO STREET
MONTEREY CA
93940-4606
US

IV. Provider business mailing address

333 EL DORADO STREET
MONTEREY CA
93940-4606
US

V. Phone/Fax

Practice location:
  • Phone: 831-648-5335
  • Fax: 831-655-6434
Mailing address:
  • Phone: 831-648-5335
  • Fax: 831-655-6434

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number35717
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: