Healthcare Provider Details

I. General information

NPI: 1215776547
Provider Name (Legal Business Name): AUSTIN FRANCIS FALCON DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/24/2024
Last Update Date: 06/17/2024
Certification Date: 06/17/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3901 HOUMA BLVD STE 202
METAIRIE LA
70006-2930
US

IV. Provider business mailing address

990 OAK AVE
HARAHAN LA
70123-3039
US

V. Phone/Fax

Practice location:
  • Phone: 504-835-0340
  • Fax:
Mailing address:
  • Phone: 504-491-4008
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number7568
License Number StateLA
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: