# FALK ORAL & FACIAL SURGERY, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1730629767
- **Authorized official:** JESSE FALK DMD (OWNER)
- **Authorized official phone:** (702) 660-5574

## Contact information

- **Practice address:** 6200 N DURANGO DR STE 100, LAS VEGAS, NV 89149-3916
- **Practice address phone:** (702) 660-5574
- **Mailing address:** 6200 N DURANGO DR STE 100, LAS VEGAS, NV 89149-3916
- **Mailing address phone:** (702) 660-5574

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | Yes |
| 261QS0112X | Oral and Maxillofacial Surgery Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 02/23/2017
- **Last updated:** 05/04/2023