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General NPI Number Information
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NPI Number | 1104455245
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Entity Type | Individual
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Provider Name | FALON ROZHITSKY DMD, MS, MBA
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Gender | Female
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Dates
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Enumeration Date | 04/01/2020
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Last Update Date | 11/23/2021
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Provider Practice Location Address
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Address Line | 2029 VALLEYGATE DR STE 201
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City | FAYETTEVILLE
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State | NC
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Zip | 28304-3772
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Country | US
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Telephone | 917-538-2924
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Fax |
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Provider Business Mailing Address
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Address Line | 107 BRYCE CT
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City | MANALAPAN
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State | NJ
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Zip | 07726-5034
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Country | US
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Telephone | 917-923-0500
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | DS041756
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 12098
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License Number State | NC
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