MEDICARE: DR. JOHN ADAMS FALLER DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	6383	LA

General Provider Information

NPI Number	:	1083050405
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOHN ADAMS FALLER DDS

Provider Business Mailing Address
First Line	:	8847 VETERANS MEMORIAL BLVD
Second Line	:	SUITE 8
City	:	METAIRIE
State	:	LA
Zip	:	70003-7707
Country	:	US
Telephone Number	:	504-230-0329
Fax Number	:	504-466-2399

Provider Business Practice Location Address
First Line	:	8847 VETERANS MEMORIAL BLVD
Second Line	:	SUITE 8
City	:	METAIRIE
State	:	LA
Zip	:	70003-7707
Country	:	US
Telephone Number	:	504-230-0329
Fax Number	:	504-466-2399

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/13/2013
Last Update Date	:	10/23/2013

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