Healthcare Provider Details

I. General information

NPI: 1982821054
Provider Name (Legal Business Name): FALCON DENTAL CARE PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/19/2007
Last Update Date: 08/04/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8011 MERIDIAN PARK DR
FALCON CO
80831
US

IV. Provider business mailing address

8011 MERIDIAN PARK DR
FALCON CO
80831
US

V. Phone/Fax

Practice location:
  • Phone: 719-494-1100
  • Fax: 719-494-1157
Mailing address:
  • Phone: 719-494-1100
  • Fax: 719-494-1157

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number8290
License Number StateCO

VIII. Authorized Official

Name: DR. JAMIN HOUSER
Title or Position: DOCTOR OWNER
Credential: DDS
Phone: 719-494-1100