MEDICARE: FALCONE ORAL AND MAXILLOFACIAL SURGERY, P.C.

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	1223S0112X	Oral and Maxillofacial Surgery (Dentist)	DS027976L	PA

General Provider Information

NPI Number	:	1689692568
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FALCONE ORAL AND MAXILLOFACIAL SURGERY, P.C.

Provider Business Mailing Address
First Line	:	509 LEE STREET
Second Line	:
City	:	REHOBOTH BEACH
State	:	DE
Zip	:	19971-1837
Country	:	US
Telephone Number	:	570-436-0929
Fax Number	:

Provider Business Practice Location Address
First Line	:	509 LEE STREET
Second Line	:
City	:	REHOBOTH BEACH
State	:	DE
Zip	:	19971-1837
Country	:	US
Telephone Number	:	570-436-0929
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. FRANK FALCONE JR.
Credential	:	DMD
Telephone Number	:	570-436-0929

Provider Enumeration Date	:	07/18/2006
Last Update Date	:	02/23/2023

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