Organization
J MARK FALKOFF DDS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEROME MARK FALKOFF DDS (OWNER)
(870) 234-0450
Entity
Organization
Contact information
Practice address
912 N JACKSON, MAGNOLIA, AR 71753
(870) 234-0450
(870) 234-5662
Mailing address
912 N JACKSON, MAGNOLIA, AR 71753
(870) 234-0450
(870) 234-5662
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2640
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
58827
ABCBS
AR
01
—
849579
UNITED CONCORDIA
AR
Enumeration date
06/13/2007
Last updated
06/18/2008
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